Individual provider · Type 1 NPI

Tavisha Nakia Russell, CNA

Nurse's Aide · Lakewood, WA

NPI number 1114337003 Active

Practice location

9600 Veterans Drive
Lakewood, WA 98493

Mailing address

9916 24th Avenue Ct S
Tacoma, WA 98444-7743

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000XNC60272176 (WA)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1114337003

Tavisha Nakia Russell, CNA's National Provider Identifier is 1114337003, issued on May 1, 2014. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Lakewood, WA. The record was last updated on May 1, 2014.