Russell, Nancy Ann
Russell, Nancy Ann is an individual health care provider with primary practice located at 50 Route 25A , Smithtown NY 11787. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russell, Nancy Ann can be contacted via phone (631) 862-3110.Contact Information
Primary practice address
50 Route 25A
Smithtown NY 11787
Phone: (631) 862-3110
Fax: (631) 862-3704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0044131 | New York |
Profile Details
| NPI number | 1164640173 |
|---|---|
| LBN Legal business name | Russell, Nancy Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 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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