Individual provider · Type 1 NPI

Mary R. Russo, RN

Registered Nurse · Ithaca, NY

NPI number 1962703587 Active

Practice location

603 Willow Ave
Ithaca, NY 14850-3555

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X399994-1 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1962703587

Mary R. Russo, RN's National Provider Identifier is 1962703587, issued on Nov 12, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Ithaca, NY. The record was last updated on Feb 17, 2014.