DYLAN RUSSELL NPI 1487298717

NPI Information

NPI: 1487298717
Provider Name: DYLAN RUSSELL
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1015 WESTRIDGE LN
ROGERS, AR
ZIP 72756
Phone: (479) 295-2004
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Dylan Russell is a student in an organized health care education training program in Rogers, AR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Dylan Russell NPI is 1487298717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1015 WESTRIDGE LN
ROGERS, AR
ZIP 72756-034
Phone: (479) 295-2004

The enumeration date for this NPI number is 10/30/2019 and was last updated on 10/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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