National Provider Identifier
Annissa Russell
Annissa Russell is listed in the NPPES registry with a primary specialty of Registered Nurse in Kenmore, NY and a listed phone number of (716) 297-0798.
Profile Overview
- NPI
- 1891118964
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- January 27, 2014
- Last Updated
- January 27, 2014
Practice Location
- 1370 Sheridan Dr
- Kenmore, NY 14217-1253
Phone: (716) 297-0798
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1891118964
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Annissa
- Provider Other Last Name
- Russell
- Provider Other First Name
- Annissa
- Provider Other Middle Name
- Elaine
- Provider Other Credential Text
- RN
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 1370 Sheridan Dr
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1253
- Mailing Country
- US
- Mailing Phone
- (716) 297-0798
- Mailing Fax
- (716) 297-0998
- Practice Street Address
- 1370 Sheridan Dr
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1253
- Practice Country
- US
- Practice Phone
- (716) 297-0798
- Practice Fax
- (716) 297-0998
- Enumeration Date
- January 27, 2014
- Last Updated
- January 27, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)
- Other Identifiers
- 650966 (NY, Nys License)