Individual provider · Type 1 NPI
Lisa C. Russo, APRN
Family Nurse Practitioner · West Haven, CT
NPI number
1891217022
Active
Practice location
1 Cellini Pl Ste 102
West Haven, CT 06516-1666
Mailing address
38 Richill Rd
Branford, CT 06405-2604
Other practice locations
- 1 Long Wharf Dr, New Haven, CT 06511-5991 · (203) 688-8800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 7045 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891217022
Lisa C. Russo, APRN's National Provider Identifier is 1891217022, issued on Jul 10, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Haven, CT. The record was last updated on Apr 18, 2023.