Individual provider · Type 1 NPI

Kathryn D. Russo, N.P.

Family Nurse Practitioner · Boston, MA

NPI number 1124299631 Active

Practice location

147 Milk St, Provider Enrollment Dept. - 9th Floor
Boston, MA 02109-4806

Fax (617) 421-3487

Mailing address

133 Brookline Ave
Boston, MA 02215-3904

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X239289 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1124299631

Kathryn D. Russo, N.P.'s National Provider Identifier is 1124299631, issued on Mar 13, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Mar 13, 2008.