Colleen K Russell, CNP | |
29099 Health Campus Drive, Suite 280, Westlake, OH 44145-4414 | |
(216) 293-0282 | |
(440) 455-9757 |
Full Name | Colleen K Russell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 29099 Health Campus Drive, Westlake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053192104 | NPI | - | NPPES |
APRN.CNP.0033973 | Other | OH | OHIO ELICENSURE OHIO PROFESSIONAL LICENSURE/ANCC |
RN.436667 | Other | OH | OHIO ELICENSURE OHIO PROFESSIONAL LICENSURE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0033973 (Ohio) | Primary |
Entity Name | Westlake America Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033752852 PECOS PAC ID: 9830523414 Enrollment ID: O20200108000033 |
Mailing Address | Practice Location Address |
---|---|
Colleen K Russell, CNP 29099 Health Campus Drive, Suite 280, Westlake, OH 44145-5200 Ph: (216) 293-0282 | Colleen K Russell, CNP 29099 Health Campus Drive, Suite 280, Westlake, OH 44145-4414 Ph: (216) 293-0282 |
Diane M Herron, BS MS BSN MSN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25200 Center Ridge Road, Suite 1100, Westlake, OH 44145 Phone: 440-333-3332 Fax: 440-331-3894 | |
Brian G Dyko, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29101 Health Campus Dr Bldg 2, Westlake, OH 44145 Phone: 440-250-0325 Fax: 440-250-0467 | |
Jessica N Angell, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd Ste 200, Westlake, OH 44145 Phone: 440-808-1212 Fax: 440-808-2060 | |
Sherry L Armitage, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25651 Detroit Rd, Suite 304, Westlake, OH 44145 Phone: 440-808-8620 | |
Geralyn R Costello, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-835-8000 | |
Chelsea Marie Maiberger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27442 Dunford Rd, Westlake, OH 44145 Phone: 260-413-8737 | |
Rachel Leigh Shirey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Crocker Road, Suite 600a, Westlake, OH 44145 Phone: 415-403-2156 |