Individual provider · Type 1 NPI
Phillip Michael Russertt, RN
Home Health Registered Nurse · Bayport, NY
NPI number
1679046130
Active
Practice location
27 Barrett Ave
Bayport, NY 11705-1407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 604009 (NY) |
Home Health Registered Nurse: Definition to come...
Other home health registered nurse providers in Bayport
About NPI 1679046130
Phillip Michael Russertt, RN's National Provider Identifier is 1679046130, issued on Jan 8, 2019. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Bayport, NY. The record was last updated on Jan 8, 2019.