BERNADETTE RUSSELL


Address: 1213 Harbor Island Walk, Baltimore, MD 21230-5461
Phone: 6102094132

BERNADETTE RUSSELL (NPI# 1427425875) 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) 1427425875
Entity Type Individual
Full Name BERNADETTE RUSSELL
Credential CPNP
Practice Address 1213 Harbor Island Walk
Baltimore
MD 21230-5461
Practice Telephone 6102094132
Enumeration Date 2015-09-01
Last Update Date 2015-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
R186183 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1213 HARBOR ISLAND WALK
City BALTIMORE
State MD
Zip Code 21230-5461

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1629563879 Ashley C Sayles Nurse Practitioner 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 2018-06-28
1396237673 Kinderhealth, LLC Nurse Practitioner 10 W West St, Baltimore, MD 21230 2018-06-03
1306378120 Teddi Roseman Nurse Practitioner 22 S Greene St Rm N5e16, Baltimore, MD 21201-1544 2017-03-30
1295280873 Sarah Schlotterbeck Perl Nurse Practitioner 6711 Evanston Rd, Baltimore, MD 21209-3865 2016-08-24
1710333448 Rachel Levy Nurse Practitioner 7010 Wallis Ave, Baltimore, MD 21215-1711 2016-05-12
1750766879 Laura Gertz Nurse Practitioner 1400 Orleans St, Baltimore, MD 21231-1021 2015-07-30
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1295131332 Erin Sherman Nurse Practitioner 306 Murdock Rd, Baltimore, MD 21212-1825 2014-11-18
1275959124 Julia Tracey Nurse Practitioner 200 N Wolfe St Ste 3120, Baltimore, MD 21287 2014-03-14
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Competitor

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City BALTIMORE
Zip Code 21230

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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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