Russell, Amorette D
Russell, Amorette D is an individual health care provider with primary practice located at 625 S New Ballas Rd Suite R-7040, Saint Louis MO 63141-8232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Russell, Amorette D can be contacted via phone (314) 251-6970.Contact Information
Primary practice address
625 S New Ballas Rd Suite R-7040
Saint Louis MO 63141-8232
Phone: (314) 251-6970
Fax: (314) 251-1053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2003025349 | Missouri |
Profile Details
| NPI number | 1225000102 |
|---|---|
| LBN Legal business name | Russell, Amorette D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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