Russell, Akimyo Champion

Russell, Akimyo Champion is an individual health care provider with primary practice located at 6200-A Old Franconia Road , Alexandria VA 22310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russell, Akimyo Champion can be contacted via phone (703) 884-8494.

Contact Information

Primary practice address
6200-A Old Franconia Road Alexandria VA 22310
Phone: (703) 884-8494
Fax: (703) 313-0178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R178581 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004213 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024170178 Virginia

Profile Details

NPI number 1295928570
LBN Legal business name Russell, Akimyo Champion
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Nov 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295928570 NPPES
Virginia MEDICAID 1295928570

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