MARYANNE RUSSELL NP
NPI 1588071369
Nurse Practitioner in Minnetonka, MN

Active since July 14, 2014
9900 BREN RD E, MINNETONKA, MN 55343(706) 896-3708 Get Directions Write a Review

NPPES record last updated: September 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryanne Russell Np NPPES

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

MARYANNE RUSSELL NP (NPI 1588071369) is an individual nurse practitioner in Minnetonka, Minnesota, licensed in Georgia (RN154916) and active in the NPI registry since July 2014. She maintains a secondary practice location in Blairsville.

NPPES Registry Identity

NPI1588071369
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARYANNE RUSSELLCredential: NP
Location Address9900 BREN RD EMinnetonka, MN 55343-9664
Mailing AddressPo Box 13Hiawassee, GA 30546-0013 · (706) 896-3708
Sole ProprietorYes
Enumeration DateJuly 14, 2014
Last NPPES UpdateSeptember 20, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1588071369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN154916
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9900 BREN RD E, Minnetonka, MN 55343

Secondary Practice Location 1

Location 148 Haralson Pl, Suite 1Blairsville, GA 30512-3087 · Phone (706) 745-0200

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Geriatric Medicine)
9900 BREN RD E, MN008-W130
MINNETONKA, MN 55343
Surgery
9900 BREN RD E, MN008-T700
MINNETONKA, MN 55343
Durable Medical Equipment & Medical Supplies
9900 BREN RD E
MINNETONKA, MN 55343
Durable Medical Equipment & Medical Supplies
9900 BREN RD E, EMERGING BUSINESSES GROUP
MINNETONKA, MN 55343
Internal Medicine
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Community Health)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588071369, enumerated as an "individual" on July 14, 2014.

The provider is located at 9900 BREN RD E MINNETONKA, MN 55343 and the phone number is (706) 896-3708.

Nurse Practitioner with taxonomy code 363L00000X.