Russell, Samara Deva

Russell, Samara Deva is an individual health care provider with primary practice located at 400 Valley Rd Ste 105 , Mount Arlington NJ 07856-2316. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Russell, Samara Deva can be contacted via phone (973) 770-7101.

Contact Information

Primary practice address
400 Valley Rd Ste 105 Mount Arlington NJ 07856-2316
Phone: (973) 770-7101
Fax: (973) 770-7108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 004763 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CAPRN00529 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 364SX0106X 4763 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ0107800 New Jersey

Profile Details

NPI number 1356622120
LBN Legal business name Russell, Samara Deva
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Aug 4th, 2021 - 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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