National Provider Identifier Database

SAMANTHA S RUSSELL, LPN – NPI #1063867646
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

SAMANTHA S RUSSELL, LPN
4 JEFFERSON PLAZA
HIGHLAND, NY12528
Phone: 845-473-5900
Fax: 845-473-6692
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X

* Indicates primary specialty

NPI Profile & details for SAMANTHA S RUSSELL

NPI Number 1063867646
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 05/02/2016
Last updated 01/11/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 312631
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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