Individual provider · Type 1 NPI
Ellen Susan Russo, APRN, BC
Adult Psychiatric/Mental Health Clinical Nurse Specialist · Perry Point, MD
NPI number
1003059106
Active
Practice location
Circle Drive, Building 5H
Perry Point, MD 21902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0809X | R046307 (MD) |
Adult Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
About NPI 1003059106
Ellen Susan Russo, APRN, BC's National Provider Identifier is 1003059106, issued on Apr 20, 2009. The primary taxonomy on file is Adult Psychiatric/Mental Health Clinical Nurse Specialist (364SP0809X), and the practice location is in Perry Point, MD. The record was last updated on Apr 20, 2009.