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

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