Individual provider · Type 1 NPI

Tammy Russum, LPN

Licensed Practical Nurse · Plymouth Meeting, PA

NPI number 1801021415 Active

Practice location

2250 Hickory Rd, Suite 240
Plymouth Meeting, PA 19462-1047

Mailing address

32759 Spring Water Dr
Millsboro, DE 19966-7127

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL2-0005567 (DE)

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 1801021415

Tammy Russum, LPN's National Provider Identifier is 1801021415, issued on May 27, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth Meeting, PA. The record was last updated on May 27, 2009.