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Contact Information

RENAE R RUSSELL, R.N. R.N.F.A. CNOR
1030 SUFFOLK LN
CEDAR HILL, TX75104-4112
 Phone: 214-728-0610
 Fax: 972-291-4409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for RENAE R RUSSELL · (Female)

NPI # 1023025491
Status Active
Credentials R.N. R.N.F.A. CNOR
Entity Individual
Enumeration date 08/01/2006
Last updated 06/04/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 631327
  • Other 0036KE BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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