person
Theodoria Russ, STNA
Home Health Aide in Youngstown, Ohio
NPI 1417467150

Theodoria Russ is a Home Health Aide based in Youngstown, OH. Theodoria Russ practices in Youngstown, OH and has the professional credentials of STNA. The NPI Number for Theodoria Russ is 1417467150 and holds a License No. 375819830896 (Ohio).

The current practice location address for Theodoria Russ is 349 Cabot St, Youngstown, OH and can be reached out via phone at 330-792-7629 and via fax at 330-782-7858. You can also correspond with Theodoria Russ through the mailing address at 349 CABOT ST, YOUNGSTOWN, OH - 44509-1405 (mailing address contact number: 330-792-7629).

Location: 349 Cabot St, Youngstown, OH, 44509-1405
person
Provider Profile Details
NPI Number
1417467150
Provider Name
Theodoria Russ
Credential
STNA
Provider Entity Type
Individual
Gender
Female
Address
349 Cabot St, Youngstown, OH, 44509-1405
Phone Number
330-792-7629
Fax Number
330-782-7858
Provider Enumeration Date
10/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CS1725500 01 OH MY OHIO CARE SOURCE
0216072 05 OH
institution
Provider Business Practice Location Address Details
Address
349 Cabot St
City
State
Zip
44509-1405
Phone Number
330-792-7629
Fax Number
330-782-7858
person
Provider Business Mailing Address Details
Address
349 Cabot St
City
State
Zip
44509-1405
Phone Number
330-792-7629
Fax Number
330-782-7858
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
375819830896 (Ohio)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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