RUSSELL CROTEAU (NPI# 1407478100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407478100 |
| Entity Type | Individual |
| Full Name | RUSSELL CROTEAU |
| Credential | RN |
| Practice Address |
3259 Acacia St Lemon Grove CA 91945-2539 |
| Practice Telephone | 8584319609 |
| Mailing Telephone | 8584319609 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
688730 | CA | Nursing Service Providers |
| Street Address |
3259 ACACIA ST |
| City | LEMON GROVE |
| State | CA |
| Zip Code | 91945-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
| 1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
| 1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
| 1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
| 1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
| 1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
| Find all providers in zip 91945 | ||||
| Taxonomy Code | 163WH0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hemodialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573757 | By Zip Renal Care Services | Registered Nurse | 215 S Vermont Ave, Los Angeles, CA 90004-5906 | 2020-09-22 |
| 1467013300 | Maria Vilma Quilaton Singh | Registered Nurse | 10348 Snowy Plover Ct, Moreno Valley, CA 92557-2768 | 2019-06-21 |
| 1932762333 | Gurvinder Kaur | Registered Nurse | 237 Tamarack Dr, Union City, CA 94587-1310 | 2019-04-21 |
| 1093200818 | Mei Shih | Registered Nurse | 457 S Long Beach Blvd, Compton, CA 90221-3427 | 2018-06-25 |
| 1346421906 | Archangels Home Health Services Inc | Registered Nurse | 2319 Alameda Avenue, Ste #2c, Ventura, CA 93003 | 2007-11-23 |
| 1871649855 | Linda Jean Spoonhunter | Registered Nurse | 44 N Tu Su Ln, Bishop, CA 93514-8058 | 2007-01-25 |
| 1184681645 | Beverly Starner Bledsoe | Registered Nurse | 10758 Navajo Rd, Apple Valley, CA 92308-8023 | 2006-04-27 |
| 1437700382 | Tina Marie Rodriguez | Registered Nurse | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
| 1689967242 | Glenn Ralleca | Registered Nurse | 21615 Berendo Ave, Suite 600, Torrance, CA 90502-1800 | 2011-05-16 |
| City | LEMON GROVE |
| Zip Code | 91945 |
Please comment or provide details below to improve the information on RUSSELL CROTEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.