Russell, Marie

Russell, Marie is an individual health care provider with primary practice located at 7944 Birmingham Dr , San Diego CA 92123-2705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Russell, Marie can be contacted via phone (858) 939-4622.

Contact Information

Primary practice address
7944 Birmingham Dr San Diego CA 92123-2705
Phone: (858) 939-4622
Fax: (858) 939-4627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 188476 North Carolina

Profile Details

NPI number 1154454155
LBN Legal business name Russell, Marie
Credentials RN, MN, C-ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 30th, 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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