Shannan R Russ is a Family in Elmira, New York. Shannan R Russ practices all healthcare services and medical treatments related to Family. The NPI Number for Shannan R Russ is 1457405144. The last update date is 2014-02-19.
Shannan R Russ's current location address is 600 Ivy St, Elmira, New York. You can contact this provider via phone number 6077377780 and fax number 6077377788. The mailing address for Shannan R Russ is 600 Ivy St, Elmira, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannan R Russ |
|---|---|
| Address | 600 Ivy St, Elmira, New York |
| Phone Number | 6077377780 |
| Fax Number | 6077377788 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1457405144 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2014-02-19 |
Provider Mailing Address Detail
| Address | 600 Ivy St |
|---|---|
| City | Elmira |
| State | New York (NY) |
| Post Code | 149051627 |
| Phone Number | 6077377780 |
| Fax Number | 6077377788 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | F332653 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2001921 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shannan R Russ by the Centers for Medicare & Medicaid Services?
The Shannan R Russ has been assigned the NPI (National Provider Identifier) 1457405144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Shannan R Russ's facilities are geographically located?
The facilities of Shannan R Russ are physically situated at the following location: 600 Ivy St, Elmira, NY, 149051627.
What is the Shannan R Russ's area of specialization and corresponding taxonomy classification?
The Shannan R Russ's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Shannan R Russ receive its 1457405144 assignment from the Centers for Medicare & Medicaid Services?
The Shannan R Russ was assigned its 1457405144 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the Shannan R Russ's information last updated?
The Shannan R Russ's information was last updated on 2014-02-19.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH