SIMONE FRANK RUSSO NPI 1134294259

NPI Information

  • NPI: 1134294259
  • Provider Name: SIMONE FRANK RUSSO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2900 E DESERT INN RD
    SUITE 108
    LAS VEGAS, NV
    ZIP 89121
  • Phone: (702) 369-2628

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NPI Details

Simone Frank Russo is a family medicine in Las Vegas, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Simone Frank Russo NPI is 1134294259. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2900 E DESERT INN RD
SUITE 108
LAS VEGAS, NV
ZIP 89121-619
Phone: (702) 369-2628
Fax: (702) 792-4328

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/8/2007.

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
1207Q00000XFamily Medicine4511NEVADAYes

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: 3/30/2025

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