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Datavia Russell, LPN
NPI 1396520888 · Licensed Practical Nurse · Baltimore, MD
Datavia Russell, LPN is a Licensed Practical Nurse provider in Baltimore, MD (NPI 1396520888).
Provider details
- NPI number
- 1396520888
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- LP56057 (MD)
Practice location
821 N Eutaw St
Baltimore, MD 21201-4648
Phone: (410) 225-9185
Street-level locationGet directions
Mailing address
3913 Norfolk Ave
Baltimore, MD 21216-1240
Registry dates
- Enumerated
- 2023-08-31
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.