Susan Lee Russo in Fairfax - Advanced Practice Midwife
Susan Lee Russo - NPI 1962493866
Susan Lee Russo is a Advanced Practice Midwife in Fairfax, Virginia. Susan Lee Russo practices all healthcare services and medical treatments related to Advanced Practice Midwife. The NPI Number for Susan Lee Russo is 1962493866. The last update date is 2007-07-08.
Susan Lee Russo's current location address is 4001 Fair Ridge Dr, Fairfax, Virginia. You can contact this provider via phone number 7033594842. The mailing address for Susan Lee Russo is 4001 Fair Ridge Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lee Russo |
|---|---|
| Address | 4001 Fair Ridge Dr, Fairfax, Virginia |
| Phone Number | 7033594842 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | C.N.M. |
NPI Number Detail
| NPI Number | 1962493866 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4001 Fair Ridge Dr |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220332917 |
| Phone Number | 7033594842 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Advanced Practice Midwife |
|---|---|
| Taxonomy | 367A00000X |
| Licence No | 24094866 |
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Definition: Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwive |
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What is the unique 10-digit identifier code issued to Susan Lee Russo by the Centers for Medicare & Medicaid Services?
The Susan Lee Russo has been assigned the NPI (National Provider Identifier) 1962493866 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Susan Lee Russo?
The Susan Lee Russo is physically situated at 4001 Fair Ridge Dr, in the city of Fairfax, state of VA, with the postal code 220332917.
What is Susan Lee Russo's area of expertise and its corresponding taxonomy classification?
The Susan Lee Russo's field of specialization is Advanced Practice Midwife, and it falls under the taxonomy code 367A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1962493866 to Susan Lee Russo?
The Centers for Medicare & Medicaid Services assigned the 1962493866 to Susan Lee Russo on 2005-10-31.
As of what date were the details related to Susan Lee Russo most recently updated or revised?
The information pertaining to Susan Lee Russo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.