Individual provider · Type 1 NPI

Amy Russell

Licensed Practical Nurse · Gary, IN

NPI number 1184186397 Active

Practice location

1100 W 6th Ave
Gary, IN 46402-1711

Call (219) 885-4264 Map

Mailing address

2730 New Hampshire St
Lake Station, IN 46405-1346

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X27056440A (IN)

Licensed Practical Nurse: 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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About NPI 1184186397

Amy Russell's National Provider Identifier is 1184186397, issued on Apr 5, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gary, IN. The record was last updated on Apr 5, 2019.