Provider Demographics
NPI:1841266236
Name:EARNEST, RUSSELL (CRNA)
Entity type:Individual
Prefix:
First Name:RUSSELL
Middle Name:
Last Name:EARNEST
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:278 HARVEY RD
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9747
Mailing Address - Country:US
Mailing Address - Phone:610-361-1259
Mailing Address - Fax:
Practice Address - Street 1:640 S STATE ST
Practice Address - Street 2:BAYHEALTH MEDICAL CENTER/DEPARTMENT OF ANESTHESIA
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-3530
Practice Address - Country:US
Practice Address - Phone:302-744-7089
Practice Address - Fax:302-735-3239
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELG0A000367367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered