Russell, Rana Wynne
Russell, Rana Wynne is an individual health care provider with primary practice located at 528 N Coronado Ave , Espanola NM 87532-2790. 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, Rana Wynne can be contacted via phone (505) 747-6939.Contact Information
Primary practice address
528 N Coronado Ave
Espanola NM 87532-2790
Phone: (505) 747-6939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 579441 | Texas |
Profile Details
| NPI number | 1245333046 |
|---|---|
| LBN Legal business name | Russell, Rana Wynne |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Mar 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245333046 | NPPES |
| Texas | MEDICAID | 147912305 | |
| Texas | Other | 8N3798 |
Popular Providers
-
Kimble, Olivia
1010 Spruce St , Espanola NM 87532-2724 -
Allen, Kimberly
1010 Spruce St , Espanola NM 87532-2724 -
Donaldson, Elizabeth Anne
1010 Spruce St. , Espanola NM 87532 -
Haynie, Keith Bryan
206 S Coronado Ave , Espanola NM 87532-2792 -
Stevens, Laurel Anne
1010 Spruce St Espanola Hospital, Espanola NM 87532 -
Shein, Leora Ellen
1010 Spruce St Presbyterian Espanola Hospital, Espanola NM 87532-2724 -
Wirz, Kathy Lynn
1010 Spruce St , Espanola NM 87532-2724 -
Veilleux, Catherine L.
509 W Pueblo Dr , Espanola NM 87532-2508