PAIGE TARA RUSSELL

SANDPOINT, ID
NPI1205314622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  59352)
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
PAIGE TARA RUSSELL DNP, NP-C
102 S EUCLID AVE STE 202
SANDPOINT, ID 83864-4939
Phone number: 208-263-6876
Mailing Address
PAIGE TARA RUSSELL DNP, NP-C
425 RUTH AVE
SANDPOINT, ID 83864-1959
Phone number: 208-255-9005
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