| Ladon W Russell, CRNA | |
|
1114 Sunset Dr, Suite 4, Johnson City, TN 37604-2969 | |
| (423) 283-0776 | |
| (423) 283-0549 |
| Full Name | Ladon W Russell |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1114 Sunset Dr, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710970850 | NPI | - | NPPES |
| 3626195 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN0000057110 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ladon W Russell, CRNA Po Box 1070, Johnson City, TN 37605-1070 Ph: (423) 283-0776 | Ladon W Russell, CRNA 1114 Sunset Dr, Suite 4, Johnson City, TN 37604-2969 Ph: (423) 283-0776 |
Shawn D Bright, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Lisa W Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Marcos D Demoura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604 Phone: 423-794-3142 | |
Chasity A Huffman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-968-5697 | |
Mrs. Jewel B Welch, CRNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-283-0776 | |
Johnny Lee Estep, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-282-0776 | |
Samuel V Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 |