National Provider Identifier
Anna Russell, PA
Anna Russell, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 568-3600.
Profile Overview
- NPI
- 1619625159
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 14, 2022
- Last Updated
- March 15, 2022
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 568-3600
Mailing Address
- 6968 Lakeside Dr
- Niagara Falls, NY 14304-4671
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1619625159
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Anna
- Credential
- PA
- Mailing Street Address
- 6968 Lakeside Dr
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14304-4671
- Mailing Country
- US
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-3600
- Enumeration Date
- March 14, 2022
- Last Updated
- March 15, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)