Russell Charles Pisano in Rancho Mirage - Family
Russell Charles Pisano - NPI 1952413098
Russell Charles Pisano is a Family in Rancho Mirage, California. Russell Charles Pisano practices all healthcare services and medical treatments related to Family. The NPI Number for Russell Charles Pisano is 1952413098. The last update date is 2022-08-23.
Russell Charles Pisano's current location address is 72780 Country Club Dr Ste 203, Rancho Mirage, California. You can contact this provider via phone number 7608343593 and fax number 7606743845. The mailing address for Russell Charles Pisano is 72780 Country Club Dr Ste 203, Rancho Mirage, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Charles Pisano |
|---|---|
| Address | 72780 Country Club Dr Ste 203, Rancho Mirage, California |
| Phone Number | 7608343593 |
| Fax Number | 7606743845 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1952413098 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2022-08-23 |
Provider Mailing Address Detail
| Address | 72780 Country Club Dr Ste 203 |
|---|---|
| City | Rancho Mirage |
| State | California (CA) |
| Post Code | 922704150 |
| Phone Number | 7608343593 |
| Fax Number | 7606743845 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | NP21901 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NP21901 | CA | MEDICAL LICENSE |
Post Comment/ Review Below
What is the Russell Charles Pisano's 1952413098?
The Russell Charles Pisano's NPI (National Provider Identifier) Number is 1952413098. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Russell Charles Pisano?
The Russell Charles Pisano is physically situated at 72780 Country Club Dr Ste 203, in the city of Rancho Mirage, state of CA, with the postal code 922704150.
What is Russell Charles Pisano's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Charles Pisano is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952413098 to Russell Charles Pisano?
The Centers for Medicare & Medicaid Services originally issued the 1952413098 to Russell Charles Pisano on 2006-08-31.
As of what date were the details pertaining to Russell Charles Pisano last refreshed?
The information related to the Russell Charles Pisano, including its address, specialty, and other relevant details, was last updated on 2022-08-23.