Russell, Erin Rachelle

Russell, Erin Rachelle is an individual health care provider with primary practice located at 5633 Tylersville Rd Ste B , Mason OH 45040-2533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Family Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Russell, Erin Rachelle can be contacted via phone (513) 622-9595.

Contact Information

Primary practice address
5633 Tylersville Rd Ste B Mason OH 45040-2533
Fax: (134) 437-7774
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN.336271 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13245-NP Ohio

Profile Details

NPI number 1639444052
LBN Legal business name Russell, Erin Rachelle
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Aug 24th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639444052 NPPES
Ohio Other 1639444052 UNSURE

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