Individual provider · Type 1 NPI

Ingrid Kristina Russo, L.P.N.

Licensed Practical Nurse · Shirley, NY

NPI number 1831492594 Active

Practice location

15 Manor Dr
Shirley, NY 11967-4213

Call (631) 281-7245 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X262771 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1831492594

Ingrid Kristina Russo, L.P.N.'s National Provider Identifier is 1831492594, issued on Dec 17, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shirley, NY. The record was last updated on Dec 17, 2010.