Individual provider · Type 1 NPI

Amberly Renee Russell, RN

Registered Nurse · Grand Rapids, MI

NPI number 1386500395 Active

Practice location

3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704385252 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1386500395

Amberly Renee Russell, RN's National Provider Identifier is 1386500395, issued on Jan 3, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 3, 2026.