Russell, Vanessa A

Russell, Vanessa A is an sole proprietor health care provider with primary practice located at 2951 Nw 49Th Ave Ste 306 , Lauderdale Lakes FL 33313-1617. 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, Vanessa A can be contacted via phone (954) 717-4066.

Contact Information

Primary practice address
2951 Nw 49Th Ave Ste 306 Lauderdale Lakes FL 33313-1617
Phone: (954) 717-4066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9314736 Florida

Profile Details

NPI number 1225543671
LBN Legal business name Russell, Vanessa A
Credentials ARNP , NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2017
Last updated Dec 7th, 2017 - about 8 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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