Russell, Charlotte Marie

Russell, Charlotte Marie is an individual health care provider with primary practice located at 2501 Harbor Blvd , Costa Mesa CA 92626-6143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russell, Charlotte Marie can be contacted via phone (714) 957-5000.

Contact Information

Primary practice address
2501 Harbor Blvd Costa Mesa CA 92626-6143
Phone: (714) 957-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335200 California

Profile Details

NPI number 1780636555
LBN Legal business name Russell, Charlotte Marie
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780636555 NPPES
Other ZZZ177992 PIN

Popular Providers