Dyer-Russell, Maryellen

Dyer-Russell, Maryellen is an individual health care provider with primary practice located at 1911 Williams Dr , Oxnard CA 93036-2612. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dyer-Russell, Maryellen can be contacted via phone (805) 981-6830.

Contact Information

Primary practice address
1911 Williams Dr Oxnard CA 93036-2612
Phone: (805) 981-6830
Fax: (805) 289-3395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X B333567-9664 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9664 California

Profile Details

NPI number 1174652002
LBN Legal business name Dyer-Russell, Maryellen
Credentials DNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 2nd, 2021 - about 3 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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