Maryellen Dyer-Russell in Oxnard - Pediatrics

Maryellen Dyer-Russell - NPI 1174652002

Maryellen Dyer-Russell is a Pediatrics in Oxnard, California. Maryellen Dyer-Russell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maryellen Dyer-Russell is 1174652002. The last update date is 2021-07-02.

Maryellen Dyer-Russell's current location address is 1911 Williams Dr, Oxnard, California. You can contact this provider via phone number 8059816830 and fax number 8052893395. The mailing address for Maryellen Dyer-Russell is 1911 Williams Dr, Oxnard, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryellen Dyer-Russell
Address 1911 Williams Dr, Oxnard, California
Phone Number 8059816830
Fax Number 8052893395
Sole Proprietor N
Credentials DNP, PMHNP

NPI Number Detail

NPI Number 1174652002
Provider Enumeration Date 2007-03-05
Last Updated Date 2021-07-02

Provider Mailing Address Detail

Address 1911 Williams Dr
City Oxnard
State California (CA)
Post Code 930362612
Phone Number 8059816830
Fax Number 8052893395

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No B333567-9664
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Maryellen Dyer-Russell

What is the unique provider identifier assigned to Maryellen Dyer-Russell?

The Maryellen Dyer-Russell has been issued the NPI (National Provider Identifier) 1174652002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Maryellen Dyer-Russell is physically located?

The Maryellen Dyer-Russell is physically situated at the following address: 1911 Williams Dr, Oxnard, CA, 930362612.

What is Maryellen Dyer-Russell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Maryellen Dyer-Russell is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.

When did the Maryellen Dyer-Russell receive its 1174652002?

The Maryellen Dyer-Russell was issued its 1174652002 on 2007-03-05, which is the date when the organization was assigned this unique identifier.

When was the information regarding Maryellen Dyer-Russell most recently updated?

The details pertaining to the Maryellen Dyer-Russell, including its address, specialty, and other relevant information, were last refreshed on 2021-07-02.

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