Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tavisha Nakia Russell, CNA

Individual provider Nurse's Aide · NPI 1114337003

Tavisha Nakia Russell, CNA is a Nurse's Aide in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2014

Practice location Address checks out

9600 Veterans Dr
Lakewood, WA 98493
Phone: (253) 582-8440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence NC60272176 (WA)

Record details

NPI number1114337003
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014

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