Individual
RUSSELL MAL PLEWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306-4018
(661) 326-2000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
05257623
NH
367500000X
Certified Registered Nurse Anesthetist
05257623
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
66362
NM
367500000X
Certified Registered Nurse Anesthetist
NA2416
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346648
—
NH
05
—
432934099
—
ME
Enumeration date
04/04/2006
Last updated
09/20/2023
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