IndividualActive
Kelly Russell, CNM
NPI 1154957652 · Advanced Practice Midwife · Providence, RI
Provider details
- NPI number
- 1154957652
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18 Imperial Pl Unit 2d
Providence, RI 02903-4642
Phone: (401) 727-4800
Fax: (401) 921-4800
Approximate (ZIP-level) locationGet directions
Mailing address
101 Dudley St
Providence, RI 02905-2401
Additional practice locations (2)
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 274-1100
- 455 Toll Gate RdWarwick, RI 02886-2759Phone: (401) 737-7010
Registry dates
- Enumerated
- 2020-03-16
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.