NPI 1104572320
Randa Russell, PRSSQBHP
Practice location
- Address
- 3111 S 70th St, Fort Smith, AR 72903-5017
- Phone
- (479) 452-6650
- Fax
- (479) 452-5847
- Mailing address
- PO Box 11818, Fort Smith, AR 72917-1818
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1104572320
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Feb 2022
- Record last updated
- 25 Feb 2022
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.