Individual provider · Type 1 NPI

Gerald E. Russell Iii, MS, RN, NREMT, NRCMA

Registered Nurse · Canaan, NY

NPI number 1972446136 Active

Practice location

13640 State Route 22
Canaan, NY 12029-3504

Fax (518) 751-2284

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XN38104 (NY)

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…

3 other providers at this address

About NPI 1972446136

Gerald E. Russell Iii, MS, RN, NREMT, NRCMA's National Provider Identifier is 1972446136, issued on Apr 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Canaan, NY. The record was last updated on Jun 8, 2026.