Miss Imelda Tividad Russell
CRNP | Nurse Practitioner - Adult Health | 26+ years Exp
6510 Kenilworth Ave Ste 2500, Riverdale
Maryland, 20737-1346
410-997-1907
Miss Imelda Tividad Russell is a Riverdale, Maryland based nurse practitioner with 26 years of experience in Adult Health. She completed her graduation in 1999. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Miss Imelda Tividad Russell is AC000309 for Adult Health in Maryland. Her current practice location is 6510 Kenilworth Ave Ste 2500, Riverdale. Patients can reach her at 410-997-1907. Miss Imelda Tividad Russell is CRNP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1528163540.
Miss Imelda Tividad Russell can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Miss Imelda Tividad Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Miss Imelda Tividad Russell |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 26+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1999 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 6510 Kenilworth Ave Ste 2500, Riverdale,
Maryland, 20737-1346 |
| Phone: | 410-997-1907 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3678572492 |
| Enrollment ID: | I20061205000415 |
| NPI Number: | 1528163540 |
| NPI Enumeration Date: | 14 Sep, 2006 |
| NPI Last Update On: | 01 Oct, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Imelda Tividad Russell are as mentioned below.
| License Number | Specialization | State | Status | |
| AC000309 | Adult Health | Maryland | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (210003) | Cheverly, MD | Acute Care Hospital |
| (210016) | Silver spring, MD | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Miss Imelda Tividad Russell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Imran H Chowdhury Md Pa (3274554126) | 14 |
| Premier Health Care Llc (7618285842) | 18 |
| Imran H Chowdhury Md Pa (3274554126) | 14 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miss Imelda Tividad Russell
6510 Kenilworth Ave Ste 2500,
Riverdale, Maryland |
| Zip: | 20737-1346 |
| Phone Number: | 109-971-9074 |
Patients can reach Miss Imelda Tividad Russell at
6510 Kenilworth Ave Ste 2500, Riverdale, Maryland or can
call to book an appointment on 410-997-1907.
Comments/ Reviews:
Patients can read all the reviews posted for Miss Imelda Tividad Russell below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Miss Imelda Tividad Russell. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.