Individual provider · Type 1 NPI

Joseph William Russo, DNP, CPNP

Pediatric Nurse Practitioner · Orlando, FL

NPI number 1730786104 Active

Practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

3401 Gerber Daisy Ln
Oviedo, FL 32766-6689

Other practice locations

  • 22 S Greene St, Baltimore, MD 21201-1590 · (203) 731-4169

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204XR196579 (MD)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN11012765 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1730786104

Joseph William Russo, DNP, CPNP's National Provider Identifier is 1730786104, issued on Oct 7, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orlando, FL. The record was last updated on Nov 2, 2022.