Kathryn D Russo in Boston - Family

Kathryn D Russo - NPI 1124299631

Kathryn D Russo is a Family in Boston, Massachusetts. Kathryn D Russo practices all healthcare services and medical treatments related to Family. The NPI Number for Kathryn D Russo is 1124299631. The last update date is 2008-03-13.

Kathryn D Russo's current location address is 147 Milk St, Boston, Massachusetts. You can contact this provider via phone number 6175598374 and fax number 6174213487. The mailing address for Kathryn D Russo is 147 Milk St, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn D Russo
Address 147 Milk St, Boston, Massachusetts
Phone Number 6175598374
Fax Number 6174213487
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1124299631
Provider Enumeration Date 2008-03-13
Last Updated Date 2008-03-13

Provider Mailing Address Detail

Address 147 Milk St
City Boston
State Massachusetts (MA)
Post Code 21094806
Phone Number 6175598374
Fax Number 6174213487

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 239289
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Kathryn D Russo

What is the unique 10-digit identifier code assigned to Kathryn D Russo by the Centers for Medicare & Medicaid Services?

The Kathryn D Russo has been issued the NPI (National Provider Identifier) 1124299631 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kathryn D Russo?

The Kathryn D Russo is situated at 147 Milk St, in the city of Boston, state of MA, with the zip code 21094806.

What is Kathryn D Russo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kathryn D Russo is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Kathryn D Russo receive the assignment of its 1124299631 from the Centers for Medicare & Medicaid Services?

The Kathryn D Russo was issued its 1124299631 by the Centers for Medicare & Medicaid Services on 2008-03-13.

When was the Kathryn D Russo's information last updated?

The Kathryn D Russo's information was last updated on 2008-03-13.

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