Individual provider · Type 1 NPI

Tracie Russell

Student in an Organized Health Care Education/Training Program · Toledo, OH

NPI number 1134584881 Active

Practice location

710 W Poinsetta Ave
Toledo, OH 43612-3246

Call (419) 973-9209 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134584881

Tracie Russell's National Provider Identifier is 1134584881, issued on Dec 23, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Toledo, OH. The record was last updated on Dec 23, 2015.