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

Ryan Russell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013602788

Ryan Russell is a Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1125 N College Ave
Fayetteville, AR 72703-1908
Phone: (479) 521-8260
Fax: (479) 444-7820
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1013602788
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 8, 2023

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