Russell, Nathan W

Russell, Nathan W is an individual health care provider with primary practice located at 166 E Main St , Hendersonville TN 37075-2520. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Russell, Nathan W can be contacted via phone (615) 822-3000.

Contact Information

Primary practice address
166 E Main St Hendersonville TN 37075-2520
Phone: (615) 822-3000
Fax: (615) 822-0073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN113668 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN7542 Tennessee

Profile Details

NPI number 1992708911
LBN Legal business name Russell, Nathan W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 28th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992708911 NPPES
Tennessee MEDICAID 3900616 (3159250)

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