| Inae Russell, | |
|
735 Fitzwatertown Rd Ste 1, Willow Grove, PA 19090-1338 | |
| (215) 657-2012 | |
| Not Available |
| Full Name | Inae Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 735 Fitzwatertown Rd Ste 1, Willow Grove, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821818857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SP030858 (Pennsylvania) | Primary |
| Entity Name | Hypertension Nephrology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831251180 PECOS PAC ID: 6103809967 Enrollment ID: O20040611000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Inae Russell, 735 Fitzwatertown Rd Ste 1, Willow Grove, PA 19090-1338 Ph: (215) 657-2012 | Inae Russell, 735 Fitzwatertown Rd Ste 1, Willow Grove, PA 19090-1338 Ph: (215) 657-2012 |
Sussett B Cain-lewis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Easton Rd, Willow Grove, PA 19090 Phone: 267-915-0261 | |
Mrs. Michelle Anderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 735 Fitzwatertown Rd, #a, Willow Grove, PA 19090 Phone: 215-657-2012 | |
Ms. Katherine Kilchmann Baltazar, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1003 Easton Rd Bldg C-104, Willow Grove, PA 19090 Phone: 267-979-9524 | |
Sarah Augusta Daniels, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3941 Commerce Ave, Willow Grove, PA 19090 Phone: 215-481-4000 | |
Dr. Donna Lee Patterson, PHD CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2701 Blair Mill Rd, Suite 10, Willow Grove, PA 19090 Phone: 215-675-1234 | |
Donna Clare Townsend, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1944 Lukens Ave, Willow Grove, PA 19090 Phone: 215-657-3966 | |
Dorothy L Rhoads, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 Computer Rd, Suite E 25, Willow Grove, PA 19090 Phone: 215-366-1160 Fax: 215-366-1141 |