Individual
TIFFANY NICHOLE RUSSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
330 CASINO CENTER BLVD, LAS VEGAS, NV 89101
(702) 671-5637
(702) 366-0576
Mailing address
300 S 4TH ST STE 2110, LAS VEGAS, NV 89101-6014
(216) 544-4565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN75931
NV
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
APRN001581
NV
Other
Enumeration date
09/13/2013
Last updated
10/28/2025
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