KATHRYN D RUSSO N.P. NPI 1124299631

NPI Information

NPI: 1124299631
Provider Name: KATHRYN D RUSSO, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
147 MILK ST
PROVIDER ENROLLMENT DEPT. - 9TH FLOOR
BOSTON, MA
ZIP 02109
Phone: (617) 559-8374
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Kathryn D Russo, N.P. is a family nurse practitioner in Boston, MA. Kathryn D Russo, N.P. NPI is 1124299631. 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:

147 MILK ST
PROVIDER ENROLLMENT DEPT. - 9TH FLOOR
BOSTON, MA
ZIP 02109-806
Phone: (617) 559-8374
Fax: (617) 421-3487

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

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	363LF0000X	Nurse Practitioner	Family	239289	MASSACHUSETTS	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: 11/14/2023

NPI Synchronization or Removal

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