Individual provider · Type 1 NPI
Kristin Theresa Russo, FNP
Family Nurse Practitioner · Southampton, NY
NPI number
1801511837
Active
Practice location
240 Meeting House Ln
Southampton, NY 11968-5009
Fax (631) 638-7327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 350492 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801511837
Kristin Theresa Russo, FNP's National Provider Identifier is 1801511837, issued on Oct 12, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southampton, NY. The record was last updated on Oct 17, 2022.