Healthcare Provider Details

I. General information

NPI: 1336006071
Provider Name (Legal Business Name): APRIL MAY RUSSELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15921 COUNTY ROAD F
WAUSEON OH
43567-9533
US

IV. Provider business mailing address

15921 COUNTY ROAD F
WAUSEON OH
43567-9533
US

V. Phone/Fax

Practice location:
  • Phone: 301-331-5909
  • Fax:
Mailing address:
  • Phone: 301-331-5909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: