Russell, Angela

Russell, Angela is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5604. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Russell, Angela can be contacted via phone (912) 435-5680.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5604
Phone: (912) 435-5680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN060765 Georgia

Profile Details

NPI number 1164412201
LBN Legal business name Russell, Angela
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
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.

Request for update

Popular Providers