IndividualActive
Angela Russ
NPI 1497587224 · Clinical Nurse Specialist · Fort Wayne, IN
Provider details
- NPI number
- 1497587224
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 28190806A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 266-2911
Approximate (ZIP-level) locationGet directions
Mailing address
16313 Allen Rd
Harlan, IN 46743-9727
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.