DATAVIA RUSSELL LPN
NPI 1396520888
Licensed Practical Nurse in Baltimore, MD

Active since August 31, 2023
821 N EUTAW ST, BALTIMORE, MD 21201(410) 225-9185 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Datavia Russell Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DATAVIA RUSSELL LPN (NPI 1396520888) is an individual licensed practical nurse in Baltimore, Maryland, licensed in Maryland (LP56057) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1396520888
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDATAVIA RUSSELLCredential: LPN
Location Address821 N EUTAW STBaltimore, MD 21201-4648
Mailing Address3913 Norfolk AveBaltimore, MD 21216-1240 · (443) 413-8732
Sole ProprietorNo
Enumeration DateAugust 31, 2023
NPPES CertifiedAugust 31, 2023
NPI 1396520888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MD · LP56057
Definition

A licensed practical nurse 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.

821 N EUTAW ST, Baltimore, MD 21201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
821 N EUTAW ST, STE 312
BALTIMORE, MD 21201
Nurse Practitioner (Family)
821 N EUTAW ST, SUITE 405
BALTIMORE, MD 21201
Licensed Practical Nurse
821 N EUTAW ST
BALTIMORE, MD 21201
Technician/Technologist (Optician)
821 N EUTAW ST, SUITE 303
BALTIMORE, MD 21201
Licensed Practical Nurse
821 N EUTAW ST
BALTIMORE, MD 21201
Registered Nurse
821 N EUTAW ST
BALTIMORE, MD 21201
Registered Nurse (Addiction (Substance Use Disorder))
821 N EUTAW ST
BALTIMORE, MD 21201
Eyewear Supplier
821 N EUTAW ST, SUITE 303
BALTIMORE, MD 21201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Datavia Russell's NPI number?

The NPI number for Datavia Russell is 1396520888. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Datavia Russell located?

Datavia Russell practices at 821 N Eutaw St, Baltimore, MD 21201. The listed phone number is (410) 225-9185.

What is Datavia Russell's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Datavia Russell was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.