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MRS. CORRETTA N HENRY-RUSSELL
NPI 1063067098
Clinic/Center in Sanford, FL

Active since August 06, 2019
1672 STARGAZER TER, SANFORD, FL 32771(407) 860-8048 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Corretta N Henry-russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CORRETTA N HENRY-RUSSELL (NPI 1063067098) is an individual clinic/center provider in Sanford, Florida and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1063067098
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameMRS. CORRETTA N HENRY-RUSSELL
Location Address1672 STARGAZER TERSanford, FL 32771-9286
Mailing Address1672 Stargazer TerSanford, FL 32771-9286 · (407) 860-8048
Phone(407) 860-8048
Sole ProprietorYes
Enumeration DateAugust 6, 2019
✔ NPI 1063067098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
1672 STARGAZER TER, Sanford, FL 32771
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corretta Henry-russell's NPI number?

The NPI number for Corretta Henry-russell is 1063067098. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Corretta Henry-russell located?

Corretta Henry-russell practices at 1672 Stargazer Ter, Sanford, FL 32771. The listed phone number is (407) 860-8048.

What is Corretta Henry-russell's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Corretta Henry-russell was last updated on August 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.