SADIE RUSSELL

MISSOULA, MT
NPI1578914396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MT  NUR-APRN-LIC-104257)
Enumeration Date2016-06-22
Last Update Date2021-05-11
Business Address
Ms. SADIE RUSSELL
3075 N RESERVE ST STE Q
MISSOULA, MT 59808-1390
Phone number: 406-327-1850
Mailing Address
Ms. SADIE RUSSELL
PO BOX 12
LIBERTY LAKE, WA 99019-0012
Phone number: 406-327-1850