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Tavisha Russell, CNA
NPI 1114337003 · on the registry since 2014 · sole proprietor
Practice
- Address
- 9600 Veterans Drive
Lakewood, WA 98493 - Phone
- (253) 582-8440
- Organisation at this address
- Va Hospital American Lake
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Nurse's Aide
376K00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington