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1780808907
DONNA REVES RUSSELL
ROANOKE, VA
NPI
1780808907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: VA 0001116283)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mrs. DONNA REVES RUSSELL NNP
101 ELM AVE SE CARILION ROANOKE COMMUNITY - NICU, 6TH AND 9TH FLOOR
ROANOKE, VA 24013-2222
Phone number: 540-985-8051
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Mailing Address
Mrs. DONNA REVES RUSSELL NNP
1701 BLAIR RD SW
ROANOKE, VA 24015-3605
Phone number: 540-342-7942
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