NICOLE ELIZABETH RUSSELL

SANDPOINT, ID
NPI1982017968
Former NameNICOLE ELIZABETH BIERIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-16119)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MT  MED-PHYS-LIC-58693)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-06-06
Last Update Date2024-03-20
Business Address
NICOLE ELIZABETH RUSSELL MD
810 NORTH 6TH AVE.
SANDPOINT, ID 83864
Phone number: 208-265-6252
Mailing Address
NICOLE ELIZABETH RUSSELL MD
810 NORTH 6TH AVE.
SANDPOINT, ID 83864
Phone number: 208-265-6252