Most Relevant Information
Provider Data
| NPI Number: | 1003396680 |
| Provider Name: | RUSSELL LEE SINNER RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 50625 |
Most Important Dates
| Enumeration Date: | 08/14/2018 |
| Last Updated: | 08/14/2018 |
Provider Practice Location
4215 AVENUE I
SCOTTSBLUFF
NE
693614902
Practice Location Phone/Fax
| Phone: | 3086353696 |
| Fax: | 3086350680 |
Provider Mailing Location
4215 AVENUE I
SCOTTSBLUFF
NE
693614902
Provider Mailing Phone/Fax
| Phone: | 3086353696 |
| Fax: | 3086350680 |