Short-Russell, Melinda R

Short-Russell, Melinda R is an sole proprietor health care provider with primary practice located at 5210 Webb Rd , Tampa FL 33615-4518. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Short-Russell, Melinda R can be contacted via phone (813) 882-9986.

Contact Information

Primary practice address
5210 Webb Rd Tampa FL 33615-4518
Fax: (813) 882-9849
Website:

Health care specialties

Profile Details

NPI number 1871789917
LBN Legal business name Short-Russell, Melinda R
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2007
Last updated Apr 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871789917 NPPES
Florida MEDICAID 109165300

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