Individual provider · Type 1 NPI
Nicole Russo
Family Nurse Practitioner · Whitestone, NY
NPI number
1629831235
Active
Practice location
14919 17th Ave
Whitestone, NY 11357-2539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F353455-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629831235
Nicole Russo's National Provider Identifier is 1629831235, issued on Feb 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Whitestone, NY. The record was last updated on Dec 4, 2024.