Search › Indiana › 171M00000X
Ametria Russell
NPI 1194208348 · on the registry since 2018 · sole proprietor
Practice
- Address
- 7209 Engle Rd
Fort Wayne, IN 46804 - Phone
- (260) 484-4600
- Fax
- (260) 484-4002
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana