Russell, Rosalee Ann

Russell, Rosalee Ann is an individual health care provider with primary practice located at 1009 Pennsylvania Ave Va Clinic, Ottumwa IA 52501-2108. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Russell, Rosalee Ann can be contacted via phone (641) 683-4300.

Contact Information

Primary practice address
1009 Pennsylvania Ave Va Clinic Ottumwa IA 52501-2108
Phone: (641) 683-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 072252 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A072252 Iowa

Profile Details

NPI number 1932192317
LBN Legal business name Russell, Rosalee Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 22nd, 2011 - about 14 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 1932192317 NPPES
Iowa Other P00159657 RAILROAD MEDICARE
Iowa Other 36761 RAILROAD MEDICARE
Iowa Other 420681060D1 RAILROAD MEDICARE
Iowa Other 510437 RAILROAD MEDICARE
Iowa Other UNK RAILROAD MEDICARE
Iowa MEDICAID 0440578 RAILROAD MEDICARE

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