Russell, Krista Gail

Russell, Krista Gail is an sole proprietor health care provider with primary practice located at 19531 Cochran Blvd , Port Charlotte FL 33948-2081. 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, Krista Gail can be contacted via phone (941) 235-3452.

Contact Information

Primary practice address
19531 Cochran Blvd Port Charlotte FL 33948-2081
Phone: (941) 235-3452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9269076 Florida

Profile Details

NPI number 1194132068
LBN Legal business name Russell, Krista Gail
Credentials ARNP, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2014
Last updated Jul 12th, 2014 - about 12 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

Popular Providers