Individual provider · Type 1 NPI

Cody Russell

Licensed Practical Nurse · Maumee, OH

NPI number 1982293577 Active

Practice location

1757 Indian Wood Cir
Maumee, OH 43537-4009

Call (833) 692-9134 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X175775 (OH)

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 1982293577

Cody Russell's National Provider Identifier is 1982293577, issued on Jan 18, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maumee, OH. The record was last updated on Jan 18, 2021.