National Provider Identifier

Samantha E Russell, LPN

Samantha E Russell, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Orchard Park, NY and a listed phone number of (585) 991-8784.

NPI 1023713526Orchard Park, NYLicensed Practical Nurse

Profile Overview

NPI
1023713526
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 03, 2023
Last Updated
June 05, 2024

Practice Location

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Phone: (585) 991-8784

Mailing Address

  • PO Box 544
  • Nunda, NY 14517-0544

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023713526
Entity Type
Individual
Last Name
Russell
First Name
Samantha
Middle Name
E
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
PO Box 544
Mailing City
Nunda
Mailing State
NY
Mailing ZIP Code
14517-0544
Mailing Country
US
Mailing Phone
(585) 991-8784
Practice Street Address
227 Thorn Ave
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2600
Practice Country
US
Practice Phone
(585) 991-8784
Enumeration Date
April 03, 2023
Last Updated
June 05, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
June 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)