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

Mary Eileen Kumah Russell, ACNP

Individual provider Gerontology Nurse Practitioner · NPI 1417518747

Mary Eileen Kumah Russell, ACNP is a Gerontology Nurse Practitioner in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

625 N 6th St
Phoenix, AZ 85004-2155
Phone: (602) 406-8222
Fax: (602) 406-7811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7330 N 99th Ave Ste 300350, Glendale, AZ 85307-3015 — (602) 406-0220

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 228209 (AZ)

Record details

NPI number1417518747
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorYes
NPI enumeratedJune 26, 2019
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022

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