Smith, Russell

Smith, Russell is an individual health care provider with primary practice located at 1230 Bay Dale Dr , Arnold MD 21012-2325. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Smith, Russell can be contacted via phone (410) 757-0027.

Contact Information

Primary practice address
1230 Bay Dale Dr Arnold MD 21012-2325
Phone: (410) 757-0027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R182595 Maryland

Profile Details

NPI number 1639611767
LBN Legal business name Smith, Russell
Credentials RN., FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 2016 - about 10 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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