TERESA M RUSSELL NP NPI 1770639346

NPI Information

NPI: 1770639346
Provider Name: TERESA M RUSSELL, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6950
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Teresa M Russell, NP is an adult health nurse practitioner in San Diego, CA. Teresa M Russell, NP NPI is 1770639346. 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:

34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134-098
Phone: (619) 532-6950
Fax: (619) 532-5501

The enumeration date for this NPI number is 1/26/2007 and was last updated on 5/15/2009.

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	363LA2200X	Nurse Practitioner	Adult Health	14528	CALIFORNIA	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	504376	OTHER	CALIFORNIA	REGISTERED NURSE
2	0387014-21	OTHER	CALIFORNIA	NURSE PRACTITIONER CRED
3	199934486	OTHER	CALIFORNIA	CERT. WOUND OSTOMY CARE

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: 4/28/2024

NPI Synchronization or Removal

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