Russell, Mary

Russell, Mary is an sole proprietor health care provider with primary practice located at 1519 Clifftop Ave , San Marcos CA 92078-1075. 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, Mary can be contacted via phone (760) 522-3941.

Contact Information

Primary practice address
1519 Clifftop Ave San Marcos CA 92078-1075
Phone: (760) 522-3941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X FNP 95000801 California

Profile Details

NPI number 1265837025
LBN Legal business name Russell, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2014
Last updated Oct 22nd, 2014 - about 11 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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