NPI 1154957652

Kelly Russell, CNM

Practitioner Advanced Practice Midwife Providence, RI

Practice location

Address: 18 Imperial Pl Unit 2d, Providence, RI 02903-4642
Phone: (401) 727-4800
Fax: (401) 921-4800
Mailing address: 101 Dudley St, Providence, RI 02905-2401

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Other Advanced Practice Midwife providers in Rhode Island →

Registry record

NPI: 1154957652
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2020
Record last updated: 19 Jul 2024

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.