Dean, Brad Russell

Dean, Brad Russell is an individual health care provider with primary practice located at 1236 Huffman Mill Rd , Burlington NC 27215-8700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dean, Brad Russell can be contacted via phone (336) 585-1700.

Contact Information

Primary practice address
1236 Huffman Mill Rd Burlington NC 27215-8700
Phone: (336) 585-1700
Fax: (336) 585-1771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 520570-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 162885 North Carolina

Profile Details

NPI number 1750366274
LBN Legal business name Dean, Brad Russell
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Sep 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750366274 NPPES
New York Other 520570-1 LICENSE

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