Individual
MRS. KATHERINE Y RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
28129 BROOKHILL ST, FARMINGTON HILLS, MI 48334-5119
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704185467
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104831330
—
MI
01
—
N47230634
MEDICARE
MI
01
—
N78650084
MEDICARE
MI
Enumeration date
05/03/2006
Last updated
09/06/2017
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