SHANNAN R RUSS

ELMIRA, NY
NPI1457405144
Former NameSHANNON R HAMILTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F332653)
Enumeration Date2007-01-22
Last Update Date2014-02-19
Business Address
-- SHANNAN R RUSS N.P.
600 IVY ST
ELMIRA, NY 14905-1627
Phone number: 607-737-7780
Mailing Address
-- SHANNAN R RUSS N.P.
722 W WATER ST
ELMIRA, NY 14905-2435
Phone number: 607-271-2050
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