Russell, Deidre Michelle
Russell, Deidre Michelle is an individual health care provider with primary practice located at 6440 W Newberry Rd Ste 111 , Gainesville FL 32605-8300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Russell, Deidre Michelle can be contacted via phone (352) 331-3332.Contact Information
Primary practice address
6440 W Newberry Rd Ste 111
Gainesville FL 32605-8300
Phone: (352) 331-3332
Fax: (352) 331-3320
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 1757432 | Florida |
Profile Details
NPI number | 1770702979 |
---|---|
LBN Legal business name | Russell, Deidre Michelle |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2007 |
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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