BRENDA NOVELLA RUSSELL

FORT EUSTIS, VA
NPI1922201169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: VA  0024138348)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
-- BRENDA NOVELLA RUSSELL NP
576 JEFFERSON AVE MCDONALD ARMY HEALTH CENTER
FORT EUSTIS, VA 23604-5548
Phone number: 757-314-7522
Mailing Address
-- BRENDA NOVELLA RUSSELL NP
168 EASY ST
DUTTON, VA 23050-9734
Phone number: 804-725-7885