Amy Russell is a Licensed Practical Nurse based in Lake Station, IN. Amy Russell practices in Gary, IN. The NPI Number for Amy Russell is 1184186397 and holds a License No. 27056440A (Indiana).
The current practice location address for Amy Russell is 1100 W 6Th Ave, Gary, IN and can be reached out via phone at 219-885-4264.
Location: 1100 W 6Th Ave, Gary, IN, 46405-1346
Provider Profile Details
NPI Number
1184186397
Provider Name
Amy Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 W 6Th Ave, Gary, IN, 46405-1346
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
04/05/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
State
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
State
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
27056440A (Indiana)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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