MEDICARE: BELINDA RUSSELL FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	APN.1001917-NP	CO

General Provider Information

NPI Number	:	1689510760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA RUSSELL FNP-C

Provider Business Mailing Address
First Line	:	4260 ARYSHIRE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-3711
Country	:	US
Telephone Number	:	719-237-6227
Fax Number	:

Provider Business Practice Location Address
First Line	:	4260 ARYSHIRE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-3711
Country	:	US
Telephone Number	:	719-237-6227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/29/2026

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