SEAN-PATRICK RUSSELL


Address: 5658 Nw 16th St, Lauderhill, FL 33313-5448
Phone: 9545540286

SEAN-PATRICK RUSSELL (NPI# 1265054357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265054357
Entity Type Individual
Full Name SEAN-PATRICK RUSSELL
Practice Address 5658 Nw 16th St
Lauderhill
FL 33313-5448
Practice Telephone 9545540286
Mailing Telephone 9545540286
Enumeration Date 2020-05-11
Last Update Date 2020-05-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN9436906 FL Nursing Service Providers

Office Location

Street Address 5658 NW 16TH ST
City LAUDERHILL
State FL
Zip Code 33313-5448

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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1770101321 Daniel N Morrissey Registered Nurse 980 Canal View Blvd Apt I4, Port Orange, FL 32129-4256 2020-07-10
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Competitor

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City LAUDERHILL
Zip Code 33313

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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