Mr. Robert J Russell
Nurse Practitioner - Psychiatric/Mental Health
759 Chestnut St
Springfield
, Massachusetts 01199-1001
Mr. Robert J Russell
Nurse Practitioner - Psychiatric/Mental Health
759 Chestnut St
Springfield
, Massachusetts 01199-1001
(413) 794-5700
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mr. Robert J Russell
- 280 Chestnut Street 2nd Floor
- Springfield, MA
- Zip : 01199
- Phone : (413) 794-5700
Second Address
- Mr. Robert J Russell
- 759 Chestnut St
- Springfield, MA
- Zip : 01199-1001
- Fax : (413) 794-9803
- Phone : (413) 794-3376
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Is Mr. Robert J Russell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 182877 | MA |
National Provider Identifier
| NPI | 1003890518 |
|---|---|
| Provider Name | Mr. Robert J Russell |
| First Address | Springfield, MA 01199 |
| Second Address | Springfield, MA 01199-1001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 24/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.