ELANA RUSSELL NPI 1831589720

NPI Information

NPI: 1831589720
Provider Name: ELANA RUSSELL
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: CONWAY REGIONAL MEDICAL CENTER INC

PECOS Registration: Yes

Address:
2200 ADA AVE STE 305
CONWAY, AR
ZIP 72034
Phone: (501) 932-0352
Get Directions

Elana Russell is a family nurse practitioner in Conway, AR with 10 years of experience. Elana Russell NPI is 1831589720. 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:

2200 ADA AVE STE 305
CONWAY, AR
ZIP 72034-986
Phone: (501) 932-0352
Fax: (501) 932-0354

The NPI 1831589720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/29/2015 and was last updated on 6/30/2017.

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	363LF0000X	Nurse Practitioner	Family	0000371	COLORADO	No
2	363LF0000X	Nurse Practitioner	Family	A004254	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	214913758	MEDICAID	ARKANSAS

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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