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: August 09, 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 20

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

Nurse Practitioner
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Gerontology)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner
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
Nurse Practitioner (Family)
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 NPPES & CMS

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

What is Maryanne Russell's NPI number?

The NPI number for Maryanne Russell is 1588071369. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Maryanne Russell located?

Maryanne Russell practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (706) 896-3708.

What is Maryanne Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Maryanne Russell was last updated on September 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.