Individual provider · Type 1 NPI
Tammy Russo, NP
Adult Health Nurse Practitioner · Hackensack, NJ
NPI number
1427262385
Active
Practice location
30 Prospect Ave, 5 Main Room # 5637
Hackensack, NJ 07601-1914
Mailing address
99 Pine St
Rivervale, NJ 07675-6229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NN10094200 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1427262385
Tammy Russo, NP's National Provider Identifier is 1427262385, issued on May 10, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hackensack, NJ. The record was last updated on Jul 8, 2007.