Russell, Annette M

Russell, Annette M is an individual health care provider with primary practice located at 1230 E 1St St , Casper WY 82601-2704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Russell, Annette M can be contacted via phone (307) 266-3174.

Contact Information

Primary practice address
1230 E 1St St Casper WY 82601-2704
Phone: (307) 266-3174
Fax: (307) 261-6713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 205 Wyoming

Profile Details

NPI number 1861439838
LBN Legal business name Russell, Annette M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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