Individual provider · Type 1 NPI
Antoinette Russell
Paramedic · Lakeside, AZ
NPI number
1457743916
Active
Practice location
2922 W White Mountain Blvd
Lakeside, AZ 85929-6152
Fax (928) 368-5643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic Primary | 146L00000X | 111 (AZ) |
| Basic Emergency Medical Technician | 146N00000X | 111 (AZ) |
Paramedic: An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
2 other providers at this address
About NPI 1457743916
Antoinette Russell's National Provider Identifier is 1457743916, issued on Feb 20, 2015. The primary taxonomy on file is Paramedic (146L00000X), and the practice location is in Lakeside, AZ. The record was last updated on Feb 20, 2015.