Acra, Madison Russell
Acra, Madison Russell is an sole proprietor health care provider with primary practice located at 5716 Cleveland St Ste 200 , Virginia Beach VA 23462-1784. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Acra, Madison Russell can be contacted via phone (757) 490-4802.Contact Information
Primary practice address
5716 Cleveland St Ste 200
Virginia Beach VA 23462-1784
Phone: (757) 490-4802
Fax: (757) 961-3696
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110008304 | Virginia |
Profile Details
NPI number | 1598426215 |
---|---|
LBN Legal business name | Acra, Madison Russell |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 5th, 2022 |
Last updated | Apr 18th, 2023 - about last year |
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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