Individual provider · Type 1 NPI

Samantha Kae Russell

Student in an Organized Health Care Education/Training Program · Madison, AL

NPI number 1689554537 Active

Practice location

106 Brydon Cir
Madison, AL 35758-4212

Call (256) 426-9890 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689554537

Samantha Kae Russell's National Provider Identifier is 1689554537, issued on Sep 3, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, AL. The record was last updated on Sep 3, 2025.