Individual
GWYNETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 256-7801
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 256-7801
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.244055
OH
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN.244055
OH
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us