Stroud, Russell Van

Stroud, Russell Van is an sole proprietor health care provider with primary practice located at 118 W Spring St , Fayetteville AR 72701-5239. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Stroud, Russell Van can be contacted via phone (479) 575-4885.

Contact Information

Primary practice address
118 W Spring St Fayetteville AR 72701-5239
Phone: (479) 575-4885
Fax: (479) 575-3218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F430548-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP19209 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A03633 Arkansas

Profile Details

NPI number 1184933145
LBN Legal business name Stroud, Russell Van
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2010
Last updated Apr 3rd, 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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