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Amy Russell
Licensed Practical Nurse in Gary, Indiana
NPI 1184186397

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. You can also correspond with Amy Russell through the mailing address at 2730 NEW HAMPSHIRE ST, LAKE STATION, IN - 46405-1346 (mailing address contact number: 219-671-6187).

Location: 1100 W 6Th Ave, Gary, IN, 46405-1346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
institution
Provider Business Practice Location Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
1100 W 6Th Ave
City
Gary
State
Indiana
Zip
46402-1711
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
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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