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:
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Health care specialties

SpecialtyCodeLicense #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 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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