AMANDA RUSSELL NPI 1184401275

NPI Information

NPI: 1184401275
Provider Name: AMANDA RUSSELL
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
314 GROVE NECK RD
EARLEVILLE, MD
ZIP 21919
Phone: (410) 275-6200
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Amanda Russell is a psychiatric/mental health and adult registered nurse in Earleville, MD. Amanda Russell NPI is 1184401275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

314 GROVE NECK RD
EARLEVILLE, MD
ZIP 21919-008
Phone: (410) 275-6200

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/12/2023.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	L1-0049815	DELAWARE	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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