Russakis, Rene Denise
Russakis, Rene Denise is an individual health care provider with primary practice located at 1 Tampa General Cir Ste A327, Tampa FL 33606-3571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Russakis, Rene Denise can be contacted via phone (813) 844-7677.Contact Information
Primary practice address
1 Tampa General Cir Ste A327
Tampa FL 33606-3571
Phone: (813) 844-7677
Fax: (813) 844-4972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APRN2508992 | Florida |
Profile Details
| NPI number | 1609867316 |
|---|---|
| LBN Legal business name | Russakis, Rene Denise |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 20th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609867316 | NPPES |
| Florida | MEDICAID | 306205800 | |
| Florida | Other | G3427 |
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