Russell, Nichelle Aquino
Russell, Nichelle Aquino is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Russell, Nichelle Aquino can be contacted via phone (210) 539-9582.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (210) 539-9582
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 715252 | Texas |
Profile Details
NPI number | 1437574415 |
---|---|
LBN Legal business name | Russell, Nichelle Aquino |
Credentials | AGNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2014 |
Last updated | Aug 4th, 2020 - about 4 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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