Russi, Dawn
Russi, Dawn is an individual health care provider with primary practice located at 1528 Del Prado Blvd S , Cape Coral FL 33990-3798. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russi, Dawn can be contacted via phone (239) 458-3338.Contact Information
Primary practice address
1528 Del Prado Blvd S
Cape Coral FL 33990-3798
Phone: (239) 458-3338
Fax: (239) 236-2694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9333796 | Florida |
Profile Details
| NPI number | 1831549765 |
|---|---|
| LBN Legal business name | Russi, Dawn |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2016 |
| Last updated | Feb 6th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831549765 | NPPES |
| Florida | MEDICAID | 017839600 | |
| Florida | Other | 9R8RM |
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