Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fatia A Russell

Individual provider Prosthetist · NPI 1356843379

Fatia A Russell is a Prosthetist in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
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Practice location Address checks out

6245 Lakehaven Dr
Fayetteville, NC 28304-0610
Phone: (910) 479-6214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence 108796 (NC)

Record details

NPI number1356843379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2018
Last updated in NPPESAugust 31, 2019
Mailing address6245 Lakehaven Dr, Fayetteville, NC 28304-0610

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