Active NPIIndividual providerSole proprietor

Tanisha Russell, LPN

Licensed Practical Nurse in Burlington, New Jersey

NPI Number1457569337
Practice location
261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177
Fax
—
Last updated
July 8, 2007

Tanisha Russell is a Licensed Practical Nurse based in Burlington, NJ. Tanisha Russell practices in Burlington, NJ and has the professional credentials of LPN. The NPI Number for Tanisha Russell is 1457569337 and holds a License No. 26NP0581900 (NJ). The current practice location address for Tanisha Russell is 261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177 and can be reached out via phone at 800-950-6066.

Provider Profile Details

NPI Number
1457569337
Provider Name
Tanisha Russell
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177
Phone Number
800-950-6066
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
261 Connecticut Dr
Suite 5
Burlington, NJ 08016-4177
Zip
08016-4177
Phone Number
800-950-6066
Burlington, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
57 Piercetown RD
Millville, NJ 08332-7908
City
Millville
State
NJ
Zip
08332-7908
Phone Number
856-455-8534

License Information

License Number
26NP0581900
License State
NJ
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tanisha Russell, LPN?

The NPI number of Tanisha Russell, LPN is 1457569337. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Tanisha Russell, LPN?

Tanisha Russell, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP0581900.

Where does Tanisha Russell, LPN practice?

The practice location is 261 Connecticut Dr, Suite 5, Burlington, NJ 08016-4177. The office can be reached at 800-950-6066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457569337 directly on the NPPES registry website.

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