Individual provider · Type 1 NPI
Gwyneth Russell, RN
Addiction (Substance Use Disorder) Registered Nurse · Dayton, OH
NPI number
1275205296
Active
Practice location
2611 Wayne Ave
Dayton, OH 45420-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN.244055 (OH) |
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | RN.244055 (OH) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1275205296
Gwyneth Russell, RN's National Provider Identifier is 1275205296, issued on Sep 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Dayton, OH. The record was last updated on Sep 28, 2021.