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General NPI Number Information
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NPI Number | 1568939981
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Entity Type | Individual
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Provider Name | HEATHER MARIE RUSSELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2210 HEWITT AVE STE 203
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City | EVERETT
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State | WA
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Zip | 98201-3767
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Country | US
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Telephone | 425-689-1212
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Fax | 425-276-8202
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Provider Business Mailing Address
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Address Line | 2210 HEWITT AVE STE 203
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City | EVERETT
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State | WA
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Zip | 98201-3767
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Country | US
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Telephone | 425-689-1212
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Fax | 425-276-8202
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP70026937
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60774952
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP70026937
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License Number State | WA
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