MARY THERESA RUSSELL

INDIANAPOLIS, IN
NPI1770590374
Former NameMARY THERESA ROJOWSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71002193A)
Enumeration Date2006-08-03
Last Update Date2020-02-25
Business Address
MARY THERESA RUSSELL NP
3834 S EMERSON AVE STE 100
INDIANAPOLIS, IN 46203
Phone number: 317-782-1577
Mailing Address
MARY THERESA RUSSELL NP
PO BOX 3299
CARSON CITY, NV 89702-3299
Phone number: 775-222-0044
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