Individual provider · Type 1 NPI
Bridget Russell
Student in an Organized Health Care Education/Training Program · Hoxie, AR
NPI number
1831587310
Active
Practice location
410 NW Lawrence St
Hoxie, AR 72433-1124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 73201 (AR) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 73201 (AR) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1831587310
Bridget Russell's National Provider Identifier is 1831587310, issued on Jan 6, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hoxie, AR. The record was last updated on Jan 6, 2015.