Russell, Gwyneth

Russell, Gwyneth is an sole proprietor health care provider with primary practice located at 2611 Wayne Ave , Dayton OH 45420-1833. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Russell, Gwyneth can be contacted via phone (937) 256-7801.

Contact Information

Primary practice address
2611 Wayne Ave Dayton OH 45420-1833
Phone: (937) 256-7801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN.244055 Ohio
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X RN.244055 Ohio

Profile Details

NPI number 1275205296
LBN Legal business name Russell, Gwyneth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 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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