NPI 1457743916

Antoinette Russell

Practitioner Paramedic Lakeside, AZ

Practice location

Address: 2922 W White Mountain Blvd, Lakeside, AZ 85929-6152
Phone: (928) 368-6112
Fax: (928) 368-5643

Registered specialties (2)

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence 111 (AZ)

Other Emergency Medical Technician, Paramedic providers in Arizona →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X Licence 111 (AZ)

Other Emergency Medical Technician, Basic providers in Arizona →

Registry record

NPI: 1457743916
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2015
Record last updated: 20 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.