Individual provider · Type 1 NPI

Reno Morelly Russell, PA-C

Physician Assistant · Raleigh, NC

NPI number 1124348404 Active

Practice location

11550 Common Oaks Dr Ste 100
Raleigh, NC 27614-8093

Call (919) 453-5740 Map

Fax (919) 453-5741

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601005764 (MI)
Physician Assistant 363A00000X50.004332RX (OH)
Physician Assistant Primary 363A00000X0010-11322 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124348404

Reno Morelly Russell, PA-C's National Provider Identifier is 1124348404, issued on Jun 9, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raleigh, NC. The record was last updated on Apr 11, 2023.