Individual
MARY THERESA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3834 S EMERSON AVE STE 100, INDIANAPOLIS, IN 46203
(317) 782-1577
(317) 780-5549
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0044
(888) 700-0187
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002193A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200492000
—
IN
Enumeration date
08/03/2006
Last updated
02/25/2020
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