Russell, Lisa

Russell, Lisa is an sole proprietor health care provider with primary practice located at 26 Nesbitt Rd Ste 253 , New Castle PA 16105-3414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Russell, Lisa can be contacted via phone (724) 652-2323.

Contact Information

Primary practice address
26 Nesbitt Rd Ste 253 New Castle PA 16105-3414
Phone: (724) 652-2323
Fax: (724) 654-3461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP024940 Pennsylvania

Profile Details

NPI number 1093472953
LBN Legal business name Russell, Lisa
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2021
Last updated Jul 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093472953 NPPES
Pennsylvania Other SP024940 CRNP LICENSE

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