Russell, Bernadette
Russell, Bernadette is an individual health care provider with primary practice located at 1213 Harbor Island Walk , Baltimore MD 21230-5461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Russell, Bernadette can be contacted via phone (610) 209-4132.Contact Information
Primary practice address
1213 Harbor Island Walk
Baltimore MD 21230-5461
Phone: (610) 209-4132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R186183 | Maryland |
Profile Details
| NPI number | 1427425875 |
|---|---|
| LBN Legal business name | Russell, Bernadette |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2015 |
| Last updated | Sep 1st, 2015 - about 11 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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