Miss Imelda Tividad Russell is a Riverdale, Maryland based nurse practitioner with 25 years of experience in Adult Health. She completed her graduation in 1999. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Miss Imelda Tividad Russell is AC000309 for Adult Health in Maryland. Her current practice location is 6510 Kenilworth Ave Ste 2500, Riverdale. Patients can reach her at 410-997-1907. Miss Imelda Tividad Russell is CRNP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1528163540. Miss Imelda Tividad Russell can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Miss Imelda Tividad Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3678572492
Enrollment ID:
I20061205000415
NPI Number:
1528163540
NPI Enumeration Date:
14 Sep, 2006
NPI Last Update On:
01 Oct, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Imelda Tividad Russell are as mentioned below.
License Number
Specialization
State
Status
AC000309
Adult Health
Maryland
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(210003)
Cheverly, MD
Acute Care Hospital
(210016)
Silver spring, MD
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Miss Imelda Tividad Russell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Imran H Chowdhury Md Pa (3274554126)
14
Premier Health Care Llc (7618285842)
18
Imran H Chowdhury Md Pa (3274554126)
14
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Miss Imelda Tividad Russell 6510 Kenilworth Ave Ste 2500, Riverdale, Maryland
Zip:
20737-1346
Phone Number:
109-971-9074
Patients can reach Miss Imelda Tividad Russell at 6510 Kenilworth Ave Ste 2500, Riverdale, Maryland or can call to book an appointment on 410-997-1907.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.