Individual provider · Type 1 NPI
Shelly Russo, APRN
Gerontology Nurse Practitioner · Venice, FL
NPI number
1104549187
Active
Practice location
1215 Jacaranda Blvd
Venice, FL 34292-4520
Fax (877) 652-3059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11021994 (FL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11021994 (FL) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
Other gerontology nurse practitioner providers in Venice
- Felicia Carnevale, ARNPGerontology Nurse Practitioner Venice, FL NPI 1003264201
- Kristy L. Petersen, ARNPGerontology Nurse Practitioner Venice, FL NPI 1003313115
- Tamika Olivier, APRNGerontology Nurse Practitioner Venice, FL NPI 1538974654
- Julie Dickinson, ARNPGerontology Nurse Practitioner Venice, FL NPI 1609372267
- Alexis Zachrison, APRNGerontology Nurse Practitioner Venice, FL NPI 1902505191
About NPI 1104549187
Shelly Russo, APRN's National Provider Identifier is 1104549187, issued on Sep 23, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Venice, FL. The record was last updated on Sep 23, 2022.