Individual
ANTOINETTE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2922 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6152
(928) 368-6112
(928) 368-5643
Mailing address
2922 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6152
(928) 368-6112
(928) 368-5643
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
111
AZ
146N00000X
Basic Emergency Medical Technician
111
AZ
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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