Russell, Nancy J

Russell, Nancy J is an individual health care provider with primary practice located at 10004 204Th Ave E Ste 3100, Bonney Lake WA 98391-6539. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Russell, Nancy J can be contacted via phone (253) 863-7510.

Contact Information

Primary practice address
10004 204Th Ave E Ste 3100 Bonney Lake WA 98391-6539
Phone: (253) 863-7510
Fax: (253) 863-5970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008393 Washington

Profile Details

NPI number 1659363349
LBN Legal business name Russell, Nancy J
Credentials MS, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 17th, 2015 - about 9 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 1659363349 NPPES
Washington Other 5872RU REGENCE BS
Washington Other 157404 REGENCE BS
Washington Other 650022436 REGENCE BS
Washington Other 650022435 REGENCE BS
Washington MEDICAID 8334070 REGENCE BS
Washington Other 8936357 REGENCE BS

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