Russell Larder
Registered Nurse (Community Health)

Address: 4515 Martin Luther King Jr Way, Seattle, WA 98108
Phone: 2063205325

Russell Larder (NPI# 1992053847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1992053847
Entity Type Individual
Full Name Russell Larder
Credential RN
Gender Male
Practice Address 4515 Martin Luther King Jr Way
Seattle
WA 98108
Practice Telephone 2063205325
Mailing Address 1776 S Columbian Way
Seattle
WA 98108-1534
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-08-27
Last Update Date 2012-09-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 163WC1500X Registered Nurse · Community Health Nursing Service Providers RN00138452 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA RN00138452 OTHER RN

Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

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1487189924 Richard Ramsey Registered Nurse 614 20th Ave, Seattle, WA 98122-5819 2017-04-21
1184931420 Heather L Carballo Registered Nurse 1012 Sw Trenton St, Seattle, WA 98106-2421 2010-09-08
1366687733 Leondra T. Weiss Registered Nurse 325 9th Ave # 359854, Seattle, WA 98104-2420 2008-12-12
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Office Location

Street Address 4515 MARTIN LUTHER KING JR WAY
City SEATTLE
State WA
Zip Code 98108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205468899 Connie Heath Counselor 13044 14th Ave S, Seattle, WA 98108 2020-02-11
1316501216 Hawa Ramazani Hamadi Massage Therapist 8811 2nd Ave S, Seattle, WA 98108 2019-04-25
1306312111 Noor Ahmad Daftani Counselor 4008 Mlk Jr. Way, Seattle, WA 98108 2018-10-18
1346726015 Erica M Meurk Counselor 3016 S Dakota St, Seattle, WA 98108 2018-07-16
1023527892 Holly Lynn Wickizer Social Worker 6160 S. Columbian Way, Seattle, WA 98108 2017-09-25
1053708628 Flora Feifei Li Student in an Organized Health Care Education/Training Program 6200 13th Avenue South, Seattle, WA 98108 2015-04-22
1174869481 Cheryll J Frazier Counselor 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 2012-12-14
1831440973 Blissa Tanaka Pharmacist 1660 S. Columbian Way (s-119), Seattle, WA 98108 2012-09-28
1023367968 Victoria Bozzacco Registered Nurse 4515 Martin Luther King Way S, Seattle, WA 98108 2012-09-06
1184999260 April Schachtel Dermatology 1660 S Columbian Way Va Puget Sound Health Care System, General Internal Medicine Clinic, Seattle, WA 98108 2012-03-21
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Competitor

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City SEATTLE
Zip Code 98108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.