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Amanda Russell
NPI 1710254388 · on the registry since 2011 · sole proprietor
Practice
- Address
- 8380 Harrison St
La Vista, NE 68128 - Phone
- (402) 592-7990
- Fax
- (402) 592-7377
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-25
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 Nebraska