Individual provider · Type 1 NPI

Ann Catherine Russell, PA-C

Medical Physician Assistant · Skowhegan, ME

NPI number 1700408317 Active

Practice location

46 Fairview Ave
Skowhegan, ME 04976-1481

Fax (207) 474-3441

Mailing address

PO Box 468
Skowhegan, ME 04976-0468

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XTPA378 (ME)
Physician Assistant 363A00000XPA378 (ME)
Medical Physician Assistant Primary 363AM0700XPA378 (ME)

Medical Physician Assistant: Definition to come...

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About NPI 1700408317

Ann Catherine Russell, PA-C's National Provider Identifier is 1700408317, issued on May 18, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Skowhegan, ME. The record was last updated on Sep 8, 2023.