MIRANDA KATHERINE RUSSO NPI 1255266136

NPI Information

  • NPI: 1255266136
  • Provider Name: MIRANDA KATHERINE RUSSO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 5445 LANARK RD STE 201
    CENTER VALLEY, PA
    ZIP 18034
  • Phone: (484) 526-5270

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NPI Details

Miranda Katherine Russo is a student in an organized health care education training program in Center Valley, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Miranda Katherine Russo NPI is 1255266136. 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:

5445 LANARK RD STE 201
CENTER VALLEY, PA
ZIP 18034-694
Phone: (484) 526-5270

The enumeration date for this NPI number is 6/15/2026 and was last updated on 6/15/2026.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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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