Russell, Debra Lynn

Russell, Debra Lynn is an individual health care provider with primary practice located at 100 Medical Blvd , Canonsburg PA 15317-9762. 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, Debra Lynn can be contacted via phone (412) 359-3030.

Contact Information

Primary practice address
100 Medical Blvd Canonsburg PA 15317-9762
Fax: (412) 359-3060
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP021399 Pennsylvania

Profile Details

NPI number 1528648953
LBN Legal business name Russell, Debra Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2021
Last updated Sep 29th, 2021 - about 3 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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