Russell, Bridget Rena

Russell, Bridget Rena is an individual health care provider with primary practice located at 4000 Jennings Station Rd , Saint Louis MO 63121-3323. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Russell, Bridget Rena can be contacted via phone (314) 679-7916.

Contact Information

Primary practice address
4000 Jennings Station Rd Saint Louis MO 63121-3323
Phone: (314) 679-7916
Fax: (314) 679-7876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 2003027751 Missouri

Profile Details

NPI number 1104986207
LBN Legal business name Russell, Bridget Rena
Credentials RN, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1104986207 NPPES
Missouri Other 103-4879 EMPLOYEE IDENITIFCATION #

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