Individual provider · Type 1 NPI

Eddie Russell, CRNA

Certified Registered Nurse Anesthetist · Philadelphia, PA

NPI number 1154563336 Active

Practice location

111 S 11th St, Ste 8490
Philadelphia, PA 19107-4824

Fax (215) 923-5507

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X26NR08427000 (NJ)
Certified Registered Nurse Anesthetist Primary 367500000XRN325270L (PA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1154563336

Eddie Russell, CRNA's National Provider Identifier is 1154563336, issued on Apr 2, 2009. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 30, 2015.