Michelle Russo, RN
Registered Nurse, School in Albuquerque, NM. Individual provider (NPI-1).
NPI number1043095151
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1043095151
- Entity type
- Individual (NPI-1)
- Name
- Michelle Russo
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2023
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | R43284 | NM | Yes |
Practice location
6400 Uptown Blvd Ne Ste 360Albuquerque, NM 87110-4202
Phone 505-855-9893
Mailing address
Po Box 25704Albuquerque, NM 87125-0704
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