National Provider Identifier
Evander Conzel Russ, LPN
Evander Conzel Russ, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (585) 438-1089.
Profile Overview
- NPI
- 1457820631
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 17, 2018
- Last Updated
- November 17, 2018
Practice Location
- 23 North Ave
- Geneva, NY 14456-1127
Phone: (585) 438-1089
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1457820631
- Entity Type
- Individual
- Last Name
- Russ
- First Name
- Evander
- Middle Name
- Conzel
- Credential
- LPN
- Mailing Street Address
- 23 North Ave
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1127
- Mailing Country
- US
- Mailing Phone
- (585) 438-1089
- Practice Street Address
- 23 North Ave
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1127
- Practice Country
- US
- Practice Phone
- (585) 438-1089
- Enumeration Date
- November 17, 2018
- Last Updated
- November 17, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)