SearchOhioLicensed Practical Nurse

Cody Russell

NPI 1982293577 · on the registry since 2021 · sole proprietor

Practice

Address
1757 Indian Wood Cir
Maumee, OH 43537
Phone
(833) 692-9134
Organisation at this address
Midwest Detox Center Llc
Midwest Detox Center Llc
Midwest Detox Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-18

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 Ohio