Datavia Russell, LPN - Licensed Practical Nurse in Baltimore, MD

Datavia Russell, LPN is a Licensed Practical Nurse based in Baltimore, Maryland. Datavia Russell is licensed to practice in Maryland (license number LP56057) and her current practice location is 821 N Eutaw St, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 225-9185.

NPI number for Datavia Russell is 1396520888 and her current mailing address is 3913 Norfolk Ave, Baltimore, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396520888.

Contact Information

Datavia Russell, LPN
821 N Eutaw St,
Baltimore, MD 21201-4648
(410) 225-9185
Not Available



Provider's Profile

Full NameDatavia Russell
GenderFemale
SpecialityLicensed Practical Nurse
Location821 N Eutaw St, Baltimore, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396520888
  • Provider Enumeration Date: 08/31/2023
  • Last Update Date: 08/31/2023

Medical Identifiers

Medical identifiers for Datavia Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396520888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP56057 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Datavia Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Datavia Russell, LPN
3913 Norfolk Ave,
Baltimore, MD 21216-1240

Ph: (443) 413-8732
Datavia Russell, LPN
821 N Eutaw St,
Baltimore, MD 21201-4648

Ph: (410) 225-9185

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› Verified 9 days ago


Licensed Practical Nurse Nurses in Baltimore, MD

Tamara Jean Riley, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 111 Park Ave, Baltimore, MD 21201
Phone: 410-837-5533    Fax: 410-837-2168
Jaleasa Cole, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1001 W Pratt St, Baltimore, MD 21223
Phone: 443-462-3407    
Jake John Carreon Cortes,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 821 N Eutaw St, Baltimore, MD 21201
Phone: 410-225-9185    
Sherlyn Sandy, MD
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4621 Arabia Ave, Baltimore, MD 21214
Phone: 443-413-8544    
Tayanna Gunn,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 821 N Eutaw St, Baltimore, MD 21201
Phone: 410-225-9185    
Mrs. Joann Newsom, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2433 Washington Blvd, Baltimore, MD 21230
Phone: 410-247-4034    
Mrs. Ayana Zeni Campbell, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3455 Wilkens Ave Lowr Level20, Baltimore, MD 21229
Phone: 410-646-6970    

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