Russell, Paige Tara
Russell, Paige Tara is an individual health care provider with primary practice located at 102 S Euclid Ave Ste 202 , Sandpoint ID 83864-4939. 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, Paige Tara can be contacted via phone (208) 263-6876.Contact Information
Primary practice address
102 S Euclid Ave Ste 202
Sandpoint ID 83864-4939
Phone: (208) 263-6876
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 59352 | Idaho |
Profile Details
| NPI number | 1205314622 |
|---|---|
| LBN Legal business name | Russell, Paige Tara |
| Credentials | DNP, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Jul 30th, 2018 - about 8 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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