Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Russell J Petersen

Individual provider Personal Care Attendant · NPI 1790288462

Russell J Petersen is a Personal Care Attendant in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Las Vegas, NV

No coordinates on file. Search this address in Google Maps

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1790288462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 8, 2018

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