Individual provider · Type 1 NPI
Maryellen Dyer-Russell, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Oxnard, CA
NPI number
1174652002
Active
Practice location
1911 Williams Dr
Oxnard, CA 93036-2612
Fax (805) 289-3395
Mailing address
800 S Victoria Ave, L4615, Vchca - Physician Services
Ventura, CA 93009-0003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | B333567-9664 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9664 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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Other psychiatric/mental health nurse practitioner providers in Oxnard
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About NPI 1174652002
Maryellen Dyer-Russell, DNP, PMHNP-BC's National Provider Identifier is 1174652002, issued on Mar 5, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oxnard, CA. The record was last updated on Jul 2, 2021.