MRS. ELLEN SUSAN RUSSO APRNBC NPI 1003059106

NPI Information

  • NPI: 1003059106
  • Provider Name: MRS. ELLEN SUSAN RUSSO, APRN,BC
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: CIRCLE DRIVE
    BUILDING 5H
    PERRY POINT, MD
    ZIP 21902
  • Phone: (410) 642-2411

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NPI Details

MRS. Ellen Susan Russo, APRN,BC is a psychiatric/mental health and adult clinical nurse specialist in Perry Point, MD. MRS. Ellen Susan Russo, APRN,BC NPI is 1003059106. 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:

CIRCLE DRIVE
BUILDING 5H
PERRY POINT, MD
ZIP 21902
Phone: (410) 642-2411

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.

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
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultR046307MARYLANDYes

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: 11/21/2025

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