Miss. Imelda Tividad Russell, CRNP
Miss. Imelda Tividad Russell, CRNP is a Nurse Practitioner in Riverdale, Maryland. Qualified in 1999, 27 years ago. Practices with Imran H Chowdhury MD PA, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.
- Years since qualifying
- 27
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- CRNP — Certified Registered Nurse Practitioner
- The title Pennsylvania and some other states use for a nurse practitioner.
Practice location Address checks out
6510 Kenilworth Ave Ste 2500Riverdale, MD 20737-1346
Phone: (410) 997-1907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence AC000309 (MD) |
|---|
Record details
| NPI number | 1528163540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNP |
| Sole proprietor | No |
| NPI enumerated | September 14, 2006 |
| Last updated in NPPES | October 1, 2018 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Imran H Chowdhury Md Pa — 18 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Riverdale
-
Marian Kolb Jones, CRNP
5711 Sarvis Ave Ste 200, Riverdale, MD 20737-1394 · (301) 277-8100