Russell, Karen J

Russell, Karen J is an individual health care provider with primary practice located at 1100 Forrest Ave , Dover DE 19904-3309. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Russell, Karen J can be contacted via phone (302) 672-4600.

Contact Information

Primary practice address
1100 Forrest Ave Dover DE 19904-3309
Phone: (302) 672-4600
Fax: (302) 672-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG0000540 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X LZ0000110 Delaware

Profile Details

NPI number 1568415909
LBN Legal business name Russell, Karen J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 12th, 2012 - about 14 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 1568415909 NPPES
Delaware MEDICAID 1568415909

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