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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295928570 | NPPES |
Virginia | MEDICAID | 1295928570 |
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