Tanisha Russell, LPN
Licensed Practical Nurse in Burlington, NJ. Individual provider (NPI-1).
NPI number1457569337
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457569337
- Entity type
- Individual (NPI-1)
- Name
- Tanisha Russell
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP0581900 | NJ | Yes |
Practice location
261 Connecticut DrSuite 5
Burlington, NJ 08016-4177
Phone 800-950-6066
Mailing address
57 Piercetown RdMillville, NJ 08332-7908
Phone 856-455-8534
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 141 Licensed Practical Nurse providers in Burlington · All 891 providers in Burlington
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