Individual provider · Type 1 NPI

Tamika Jean Russavage

School Registered Nurse · Omaha, NE

NPI number 1316768823 Active

Practice location

1807 S 60th St
Omaha, NE 68106-2151

Fax (531) 299-1099

Mailing address

14568 Corby St
Omaha, NE 68116-5104

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X69653 (NE)
School Registered Nurse Primary 163WS0200X69653 (NE)

School Registered Nurse: Definition to come...

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About NPI 1316768823

Tamika Jean Russavage's National Provider Identifier is 1316768823, issued on Oct 18, 2024. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Omaha, NE. The record was last updated on Oct 18, 2024.