Whalio Doctors

NPI 1003890518

Robert J Russell, PCNS

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Springfield, MA

Practice location

Address
759 Chestnut St, Springfield, MA 01199-1001
Phone
(413) 794-3376
Fax
(413) 794-9803
Mailing address
280 Chestnut Street 2nd Floor, Springfield, MA 01199

Registered specialties (2)

Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 182877 (MA)
Psychiatric/Mental Health Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 182877 (MA)

Registry record

NPI
1003890518
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Nov 2005
Record last updated
24 Jun 2015

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.