PHYLLIS RUSSO, MSN, ARNP, GCNS-BC

Nurse Practitioner - Gerontology

Active Individual
NPI: 1932108586

Practice Address

3368 WOODS EDGE CIR
SUITE 104
Bonita Springs, FL 34134

Phone: (239) 495-5315

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes ARNP 2128402 (FL)
Clinical Nurse Specialist - Gerontology 364SG0600X No 0134457-18 (CT)

Frequently Asked Questions

NPI 1932108586 is the National Provider Identifier for PHYLLIS RUSSO, MSN, ARNP, GCNS-BC, a Nurse Practitioner - Gerontology provider located in Bonita Springs, FL. This NPI was enumerated on July 16, 2005.
PHYLLIS RUSSO, MSN, ARNP, GCNS-BC practices at 3368 WOODS EDGE CIR, SUITE 104, Bonita Springs, FL 34134.

Quick Facts

NPI
1932108586
Type
Individual
Enumerated
Jul 16, 2005
Last Updated
Dec 9, 2009

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