Russ, Reva Michelle

Russ, Reva Michelle is an individual health care provider with primary practice located at 445 Charles H Dimmock Pkwy Ste 101 , Colonial Heights VA 23834-2990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russ, Reva Michelle can be contacted via phone (804) 481-9400.

Contact Information

Primary practice address
445 Charles H Dimmock Pkwy Ste 101 Colonial Heights VA 23834-2990
Phone: (804) 481-9400
Fax: (804) 481-9344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024183254 Virginia

Profile Details

NPI number 1609536317
LBN Legal business name Russ, Reva Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2021
Last updated Oct 13th, 2022 - about 2 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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