Russell, Sherry A

Russell, Sherry A is an individual health care provider with primary practice located at 1322 N River Rd , St Clair MI 48079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, which is considered as her primary health care specialty. Russell, Sherry A can be contacted via phone (810) 329-4798.

Contact Information

Primary practice address
1322 N River Rd St Clair MI 48079
Phone: (810) 329-4798
Fax: (810) 329-7303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community 364SP0812X 4704167606 Michigan

Profile Details

NPI number 1104887140
LBN Legal business name Russell, Sherry A
Credentials MSN APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 19th, 2010 - about 15 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 1104887140 NPPES
Michigan MEDICAID 740113

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