Teresa M Russell in San Diego - Adult Health
Teresa M Russell - NPI 1770639346
Teresa M Russell is a Adult Health in San Diego, California. Teresa M Russell practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Teresa M Russell is 1770639346. The last update date is 2009-05-15.
Teresa M Russell's current location address is 3485 Old Cobble Ct, San Diego, California. You can contact this provider via phone number 6195326950 and fax number 6195325501. The mailing address for Teresa M Russell is 3485 Old Cobble Ct, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa M Russell |
|---|---|
| Address | 3485 Old Cobble Ct, San Diego, California |
| Phone Number | 6195326950 |
| Fax Number | 6195325501 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1770639346 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2009-05-15 |
Provider Mailing Address Detail
| Address | 3485 Old Cobble Ct |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921114045 |
| Phone Number | 6195326950 |
| Fax Number | 6195325501 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 14528 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 504376 | CA | REGISTERED NURSE | |
| 0387014-21 | CA | NURSE PRACTITIONER CRED | |
| 199934486 | CA | CERT. WOUND OSTOMY CARE |
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What is the Teresa M Russell's unique identification number?
The Teresa M Russell has been assigned the NPI (National Provider Identifier) Number 1770639346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Teresa M Russell located?
The Teresa M Russell is located at 3485 Old Cobble Ct, San Diego, CA 921114045.
What is the Teresa M Russell's specialty and taxonomy code?
The Teresa M Russell's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
When was the Teresa M Russell's 1770639346 issued?
The Teresa M Russell's 1770639346 was issued on 2007-01-26.
When was the information regarding Teresa M Russell most recently updated?
The details pertaining to the Teresa M Russell, including its address, specialty, and other relevant information, were last refreshed on 2009-05-15.