Individual provider · Type 1 NPI

Marissa Russo, NP

Nurse Practitioner · Huntersville, NC

NPI number 1558952911 Active

Practice location

8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872

Call (704) 997-6530 Map

Mailing address

13809 Hill St
Huntersville, NC 28078-5328

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	F01210887 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1558952911

Marissa Russo, NP's National Provider Identifier is 1558952911, issued on Jan 28, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntersville, NC. The record was last updated on Jan 28, 2021.