Lookup NPI Numbers from the NPI Registry
NPI Profile for PHYLLIS J RUSSO in BONITA SPRINGS, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Gerontology |
364SG0600X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1932108586 |
|
| Status | Active | |
| Credentials | MSN, ARNP, GCNS-BC | |
| Entity | Individual | |
| Enumeration date | 07/16/2005 | |
| Last updated | 12/09/2009 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PHYLLIS J RUSSO
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PHYLLIS J RUSSO, MSN, ARNP, GCNS-BC