Peggy Russell

NPI 1770739229 · on the registry since 2008

Practice

Address: 3707 E Shields Ave
Fresno, CA 93726
Phone: (559) 229-9040
Fax: (559) 229-9060
Organisation at this address: Aegis Treatment Centers, Llc
Aegis Treatment Centers, Llc
Nationwide Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 101

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-10

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 California