Individual provider · Type 1 NPI
Kathe Ann Russo
Acute Care Nurse Practitioner · St. Charles, MO
NPI number
1629424965
Active
Practice location
2929 Westborough Dr
St. Charles, MO 63301-4546
Mailing address
PO Box 955534
St. Louis, MO 63195-5534
Other practice locations
- 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 · (314) 770-0991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2016009378 (MO) |
Acute Care Nurse Practitioner: Definition to come...
Other acute care nurse practitioner providers in St. Charles
About NPI 1629424965
Kathe Ann Russo's National Provider Identifier is 1629424965, issued on May 5, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Charles, MO. The record was last updated on Nov 10, 2020.