NPI 1003145152
Julie Russell, PMHCNSBC
Practice location
- Address
- 5597 Cedar Break Dr, Centreville, VA 20120-3329
- Phone
- (703) 830-6315
- Mailing address
- 443 Carlisle Dr STE a, Herndon, VA 20170-5623
Registered specialties
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1003145152
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Dec 2009
- Record last updated
- 21 Dec 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.