MARJORIE RUSSELL NPP NPI 1497113427

NPI Information

  • NPI: 1497113427
  • Provider Name: MARJORIE RUSSELL, NPP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 36 BRITISH AMERICAN BLVD
    STE 102
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 389-6606

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NPI Details

Marjorie Russell, NPP is a psychiatric/mental health nurse practitioner in Latham, NY. Marjorie Russell, NPP NPI is 1497113427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

36 BRITISH AMERICAN BLVD
STE 102
LATHAM, NY
ZIP 12110-410
Phone: (518) 389-6606
Fax: (518) 389-6605

The enumeration date for this NPI number is 2/4/2016 and was last updated on 4/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health40401959NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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