Russell, Teresa M

Russell, Teresa M is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Russell, Teresa M can be contacted via phone (619) 532-6950.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-6950
Fax: (619) 532-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 14528 California

Profile Details

NPI number 1770639346
LBN Legal business name Russell, Teresa M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated May 15th, 2009 - about 16 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 1770639346 NPPES
California Other 504376 REGISTERED NURSE
California Other 0387014-21 REGISTERED NURSE
California Other 199934486 REGISTERED NURSE

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