Russell, Sheryl A

Russell, Sheryl A is an individual health care provider with primary practice located at 840 E Hill Ave , Moses Lake WA 98837-2238. 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, Sheryl A can be contacted via phone (509) 765-0216.

Contact Information

Primary practice address
840 E Hill Ave Moses Lake WA 98837-2238
Phone: (509) 765-0216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30003874 Washington

Profile Details

NPI number 1225057219
LBN Legal business name Russell, Sheryl A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225057219 NPPES
Washington MEDICAID 9617622
Washington Other 128257

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