Individual
AMANDA MARIE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 772-7530
Mailing address
4310 64TH ST, HOLLAND, MI 49423-8911
(616) 834-8445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704299624
MI
163WL0100X
Lactation Consultant (Registered Nurse)
L-306093
MI
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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