Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA RUSSELL
ActiveAMANDA RUSSELL is a Substance Abuse Psychiatric Nurse healthcare provider located in EARLEVILLE, Maryland. NPI 1184401275 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · EARLEVILLE, MD
Registration Details
- NPI Number
- 1184401275
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2023 (2.9597659624425 yrs)
- Last Updated
- Sep 12, 2023
- License
-
L1-0049815 (DE)
Practice Information
- Address
-
314 GROVE NECK RDEARLEVILLE, MD, 219193008Browse MD providers · Browse ZIP 21919
- Phone
- 4102756200
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.