Kristin Theresa Russo, FNP

NPI #1801511837 in Southampton, New York

Provider Information

NPI Number
1801511837
Entity Type
Individual
Name
Kristin Theresa Russo, FNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Oct 12, 2022
Last Updated
Oct 17, 2022

Practice Location

Address
240 MEETING HOUSE LN
ZIP Code
11968-5009
Phone
(631) 638-7702

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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