Individual provider · Type 1 NPI

Kathleen Russo, ARNP

Family Nurse Practitioner · Englewood, FL

NPI number 1790784932 Active

Practice location

700 Medical Blvd
Englewood, FL 34223-3964

Mailing address

PO Box 3492
Placida, FL 33946-3492

Other practice locations

  • 2061 Englewood Rd Ste 5, Englewood, FL 34223-1749 · (941) 473-8881

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP2918432 (FL)
Family Nurse Practitioner Primary 363LF0000XARNP2918432 (FL)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1790784932

Kathleen Russo, ARNP's National Provider Identifier is 1790784932, issued on Jul 19, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Englewood, FL. The record was last updated on Apr 17, 2018.