Antoinette Russell
NPI 1457743916 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2922 W White Mountain Blvd
Lakeside, AZ 85929 - Phone
- (928) 368-6112
- Fax
- (928) 368-5643
- Organisation at this address
- Lakeside Volunteer Fire Department
Timber Mesa Fire And Medical DistrictInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Paramedic
146L00000X
- Also registered as
- Basic Emergency Medical Technician
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona