Individual provider · Type 1 NPI
Doreen Ruth Russo, RN
General Practice Registered Nurse · Buffalo, NY
NPI number
1104136902
Active
Practice location
346 Delaware Ave
Buffalo, NY 14202-1804
Fax (716) 961-4419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 3395501 (NY) |
General Practice Registered Nurse: Definition to come...
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About NPI 1104136902
Doreen Ruth Russo, RN's National Provider Identifier is 1104136902, issued on Oct 14, 2010. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Buffalo, NY. The record was last updated on Oct 14, 2010.