Russell, Stella Mardeta
Russell, Stella Mardeta is an sole proprietor health care provider with primary practice located at 20050 Harvard Ave Ste 300 , Warrensville Heights OH 44122-6800. 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, Stella Mardeta can be contacted via phone (216) 751-1212.Contact Information
Primary practice address
20050 Harvard Ave Ste 300
Warrensville Heights OH 44122-6800
Phone: (216) 751-1212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN.CNP.0027561 | Ohio |
Profile Details
| NPI number | 1083220628 |
|---|---|
| LBN Legal business name | Russell, Stella Mardeta |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2020 |
| Last updated | Jan 10th, 2022 - about 2 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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