Individual provider · Type 1 NPI
Susan Marie Russo, BSN, RNC
Inpatient Obstetric Registered Nurse · Phoenix, AZ
NPI number
1992947642
Active
Practice location
4212 N 16th St
Phoenix, AZ 85016-5319
Fax (602) 263-1631
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Inpatient Obstetric Registered Nurse Primary | 163WX0003X | RN125309 (AZ) |
| Inpatient Obstetric Registered Nurse | 163WX0003X | 684472 (CA) |
Inpatient Obstetric Registered Nurse: Definition to come...
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About NPI 1992947642
Susan Marie Russo, BSN, RNC's National Provider Identifier is 1992947642, issued on Mar 26, 2009. The primary taxonomy on file is Inpatient Obstetric Registered Nurse (163WX0003X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 26, 2009.