KATHERINE RUSSO PMHNP-BC NPI 1700658952

NPI Information

NPI: 1700658952
Provider Name: KATHERINE RUSSO, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1311 W 96TH ST STE 110
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 732-7609
Get Directions

Katherine Russo, PMHNP-BC is a psychiatric/mental health nurse practitioner in Indianapolis, IN. Katherine Russo, PMHNP-BC NPI is 1700658952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1311 W 96TH ST STE 110
INDIANAPOLIS, IN
ZIP 46260-172
Phone: (317) 732-7609

The enumeration date for this NPI number is 10/23/2023 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71014322A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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