Mariah Pearl Russell
Technician, Personal Care Attendant in Lincoln, NE. Individual provider (NPI-1).
NPI number1023907334
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1023907334
- Entity type
- Individual (NPI-1)
- Name
- Mariah Pearl Russell
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 372500000X | Chore Provider | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
8055 O St Ste 119bLincoln, NE 68510-2565
Phone 402-421-1119
Mailing address
1309 New Hampshire St Apt ALincoln, NE 68508-4501
Phone 480-544-6967
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All 2,737 Personal Care Attendant providers in Lincoln · All 17,648 providers in Lincoln
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