Amy Russell, LPN
Licensed Practical Nurse in Tacoma, WA. Individual provider (NPI-1).
NPI number1215404751
StatusActive
Last updated in NPPESOct 17, 2025
Details
- NPI
- 1215404751
- Entity type
- Individual (NPI-1)
- Name
- Amy Russell
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2018
- Certification date
- Oct 17, 2025
- Last updated
- Oct 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP60556004 | WA | Yes |
Other names
- Amy Russell (Other Name)
Practice location
1415 E 72nd St Ste BTacoma, WA 98404-5905
Phone 253-300-7474
Mailing address
1700 Airport Way SSeattle, WA 98134-1618
Phone 206-223-3644
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All 223 Licensed Practical Nurse providers in Tacoma · All 15,721 providers in Tacoma
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