IndividualActive
Shelly Russ, LPN
NPI 1609159243 · Licensed Practical Nurse · Amanda, OH
Provider details
- NPI number
- 1609159243
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 144348 (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
6495 Julian Rd Sw
Amanda, OH 43102-9527
Phone: (740) 969-4499
Approximate (ZIP-level) locationGet directions
Mailing address
6495 Julian Rd Sw
Amanda, OH 43102-9527
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2011-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.