Individual provider · Type 1 NPI

Ashly Louise Russell

Licensed Practical Nurse · Fort Meade, SD

NPI number 1295620284 Active

Practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Call (605) 347-2511 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPO12093 (SD)

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 1295620284

Ashly Louise Russell's National Provider Identifier is 1295620284, issued on Jun 10, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Meade, SD. The record was last updated on Jun 10, 2025.