Individual provider · Type 1 NPI
Amy Russell, LPN
Licensed Practical Nurse · Tacoma, WA
NPI number
1215404751
Active
Practice location
1415 E 72nd St Ste B
Tacoma, WA 98404-5905
Mailing address
1700 Airport Way S
Seattle, WA 98134-1618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | LP60556004 (WA) |
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 1215404751
Amy Russell, LPN's National Provider Identifier is 1215404751, issued on Nov 1, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tacoma, WA. The record was last updated on Oct 17, 2025.