| Amy Russell, | |
|
1100 W 6th Ave, Gary, IN 46402-1711 | |
| (219) 885-4264 | |
| Not Available |
| Full Name | Amy Russell |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1100 W 6th Ave, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184186397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 27056440A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Russell, 2730 New Hampshire St, Lake Station, IN 46405-1346 Ph: (219) 671-6187 | Amy Russell, 1100 W 6th Ave, Gary, IN 46402-1711 Ph: (219) 885-4264 |
Nicole Ashley Walker, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Michele Buchanan, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Ashante R Protho, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Bunnie J Fleming, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 E 21st Ave, Gary, IN 46407 Phone: 219-886-1320 Fax: 219-886-1319 | |
Robin Schulte, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1110 W 5th Ave, Gary, IN 46402 Phone: 219-885-4264 | |
Lavelva Doirna Burks-gibson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 |