Individual provider · Type 1 NPI

Kristy K. Russ

Nurse Practitioner · New Hartford, NY

NPI number 1962921809 Active

Practice location

8411 Seneca Tpke
New Hartford, NY 13413-4912

Call (315) 624-8500 Map

Fax (315) 624-8515

Mailing address

2209 Genesee Street, Business Office Room 310
Utica, NY 13501-5930

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	308414 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1962921809

Kristy K. Russ's National Provider Identifier is 1962921809, issued on Sep 12, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New Hartford, NY. The record was last updated on Sep 12, 2017.