IndividualActive
Adam Russell
NPI 1063247583 · Physician Assistant · Henderson, NV
Provider details
- NPI number
- 1063247583
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
650 Pacific Cascades Dr
Henderson, NV 89012-5669
Phone: (801) 900-3051
Approximate (ZIP-level) locationGet directions
Mailing address
650 Pacific Cascades Dr
Henderson, NV 89012-5669
Registry dates
- Enumerated
- 2024-09-04
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.