Individual provider · Type 1 NPI
Maria Russ, ARNP, CPNP, PhD
Pediatric Nurse Practitioner · Tampa, FL
NPI number
1023193133
Active
Practice location
17709 Grey Eagle Rd, Same
Tampa, FL 33647-2261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2562902 (FL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1023193133
Maria Russ, ARNP, CPNP, PhD's National Provider Identifier is 1023193133, issued on Oct 26, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.