Russell, Theresa

Russell, Theresa is an individual health care provider with primary practice located at 210 9Th St Se , Rochester MN 55904-6756. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Russell, Theresa can be contacted via phone (507) 288-3443.

Contact Information

Primary practice address
210 9Th St Se Rochester MN 55904-6756
Phone: (507) 288-3443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R 148946-8 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 442 Minnesota

Profile Details

NPI number 1487808119
LBN Legal business name Russell, Theresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2008
Last updated Mar 24th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487808119 NPPES
Minnesota Other P01021872 MCR RAILROAD MEDICARE

Popular Providers