ANTOINETTE RUSSELL NPI 1457743916

NPI Information

NPI: 1457743916
Provider Name: ANTOINETTE RUSSELL
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Individual
Address:
2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ
ZIP 85929
Phone: (928) 368-6112
Get Directions

Antoinette Russell is an emergency medical technician paramedic in Lakeside, AZ. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. Antoinette Russell NPI is 1457743916. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ
ZIP 85929-152
Phone: (928) 368-6112
Fax: (928) 368-5643

The enumeration date for this NPI number is 2/20/2015 and was last updated on 2/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic		111	ARIZONA	No
2	146L00000X	Emergency Medical Technician, Paramedic		111	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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