Individual provider · Type 1 NPI
Amanda Ashley Russ
Licensed Practical Nurse · Geneva, NY
NPI number
1679048367
Active
Practice location
178 William St
Geneva, NY 14456-2554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 327739 (NY) |
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 1679048367
Amanda Ashley Russ's National Provider Identifier is 1679048367, issued on Oct 9, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Geneva, NY. The record was last updated on Oct 9, 2018.