LAURIE TILLERY-RUSSELL, CRNP
Nurse Practitioner - Family
Active
Individual
NPI: 1538503321
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | SPO12098 (PA) |
Frequently Asked Questions
NPI 1538503321 is the National Provider Identifier for LAURIE TILLERY-RUSSELL, CRNP, a Nurse Practitioner - Family provider located in Philadelphia, PA. This NPI was enumerated on April 23, 2013.
LAURIE TILLERY-RUSSELL, CRNP practices at 1500 MARKET ST, Philadelphia, PA 19102.
Quick Facts
- NPI
- 1538503321
- Type
- Individual
- Enumerated
- Apr 23, 2013
- Last Updated
- Apr 19, 2016
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