Terri Lynne Russell in Waconia - Psychiatric/mental Health

Terri Lynne Russell - NPI 1205838661

Terri Lynne Russell is a Psychiatric/mental Health in Waconia, Minnesota. Terri Lynne Russell practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Terri Lynne Russell is 1205838661. The last update date is 2007-07-08.

Terri Lynne Russell's current location address is 540 E 1st St, Waconia, Minnesota. You can contact this provider via phone number 9524424437 and fax number 9524423084. The mailing address for Terri Lynne Russell is 540 E 1st St, Waconia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Terri Lynne Russell
Address 540 E 1st St, Waconia, Minnesota
Phone Number 9524424437
Fax Number 9524423084
Sole Proprietor X
Credentials RN MS CNS

NPI Number Detail

NPI Number 1205838661
Provider Enumeration Date 2005-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 540 E 1st St
City Waconia
State Minnesota (MN)
Post Code 553871601
Phone Number 9524424437
Fax Number 9524423084

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 163Wp0808X
Licence No R-122719-6
Definition:
A registered nurse who cares for patients with mental health disorders and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HP28174 MN HEALTH PARTNERS
123169 MN U-CARE
1023258 MN PREFERRED ONE
07F62RU MN BLUE CROSS BLUE SHIELD
6249427 MN UBH-MEDICA

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FAQs about Terri Lynne Russell

What is the unique 10-digit identifier code issued to Terri Lynne Russell by the Centers for Medicare & Medicaid Services?

The Terri Lynne Russell has been assigned the NPI (National Provider Identifier) 1205838661 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Terri Lynne Russell's physical address?

The Terri Lynne Russell is physically located at 540 E 1St St, in the city of Waconia, MN, with the postal code 553871601.

What is Terri Lynne Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Terri Lynne Russell is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 163Wp0808X.

When did Terri Lynne Russell receive its 1205838661 assignment?

The Terri Lynne Russell was assigned its 1205838661 on 2005-08-15, which is the date when this unique identifier was issued to the organization.

When was the information regarding Terri Lynne Russell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Terri Lynne Russell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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