Individual provider · Type 1 NPI

Miranda Katherine Russo

Physician Assistant · Center Valley, PA

NPI number 1255266136 Active

Practice location

5445 Lanark Rd Ste 201
Center Valley, PA 18034-8694

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255266136

Miranda Katherine Russo's National Provider Identifier is 1255266136, issued on Jun 15, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Center Valley, PA. The record was last updated on Sep 10, 2026.