National Provider Identifier

Elizabeth Russo, ANP-BC

Elizabeth Russo, ANP-BC is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Clifton Springs, NY and a listed phone number of (315) 462-0447.

NPI 1568883973Clifton Springs, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1568883973
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
January 02, 2014
Last Updated
September 25, 2019

Practice Location

  • 71 Kendall St
  • Clifton Springs, NY 14432

Phone: (315) 462-0447

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1568883973
Entity Type
Individual
Last Name
Russo
First Name
Elizabeth
Name Prefix
MS.
Credential
ANP-BC
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-0553
Practice Street Address
71 Kendall St
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432
Practice Country
US
Practice Phone
(315) 462-0447
Practice Fax
(315) 462-3891
Enumeration Date
January 02, 2014
Last Updated
September 25, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Registered Nurse (163W00000X)