National Provider Identifier
Amanda Ashley Russ
Amanda Ashley Russ is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 830-8591.
Profile Overview
- NPI
- 1679048367
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 09, 2018
- Last Updated
- October 09, 2018
Practice Location
- 178 William St
- Geneva, NY 14456-2554
Phone: (315) 830-8591
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1679048367
- Entity Type
- Individual
- Last Name
- Russ
- First Name
- Amanda
- Middle Name
- Ashley
- Mailing Street Address
- 178 William St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2554
- Mailing Country
- US
- Mailing Phone
- (315) 830-8591
- Practice Street Address
- 178 William St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2554
- Practice Country
- US
- Practice Phone
- (315) 830-8591
- Enumeration Date
- October 09, 2018
- Last Updated
- October 09, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 327739 (NY, LPN)