Erica Rose Russell LPN

NPI 1275803256 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1275803256
Gender Female
Enumeration Date 01/06/2012
Last Updated 01/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3975 FOXFIRE DR
ZANESVILLE OH, 43701-9362, US
Phone (740) 661-5028
Fax
Business Location
3975 FOXFIRE DR
ZANESVILLE OH, 43701-9362, US
Phone (740) 661-5028
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number 136136-M-IV
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According to our database, Erica Rose Russell LPN NPI is 1275803256, taxonomy code is 164W00000X and license number is 136136-M-IV, license state is located at Ohio. Erica Rose Russell LPN physically located at 3975 Foxfire Dr, Zanesville OH, 43701-9362. NPI Number Erica Rose Russell LPN has the Individual type.

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1275803256 NPI number is provided on an as is basis without warranty of any kind. 1275803256 is maintained by the National Plan & Provider Enumeration System. The contents of Erica Rose Russell LPN are for informational purposes only.