Russett, Wendy

Russett, Wendy is an individual health care provider with primary practice located at 130 Division St , Derby CT 06418-1326. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Russett, Wendy can be contacted via phone (203) 732-7403.

Contact Information

Primary practice address
130 Division St Derby CT 06418-1326
Phone: (203) 732-7403
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001987 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001987 Delaware

Profile Details

NPI number 1699963405
LBN Legal business name Russett, Wendy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Oct 5th, 2007 - about 18 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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