National Provider Identifier
Rebecca Ann Russo, FNP-BC
Rebecca Ann Russo, FNP-BC is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Batavia, NY and a listed phone number of (585) 815-6710.
Profile Overview
- NPI
- 1639662349
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 08, 2018
- Last Updated
- August 03, 2020
Practice Location
- 229 Summit St Ste 4
- Batavia, NY 14020-1645
Phone: (585) 815-6710
Specialties
- Family Nurse Practitioner (363LF0000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1639662349
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Rebecca
- Middle Name
- Ann
- Credential
- FNP-BC
- Provider Other Last Name
- Fobar
- Provider Other First Name
- Rebecca
- Provider Other Middle Name
- Ann
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 229 Summit St Ste 4
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-1645
- Mailing Country
- US
- Mailing Phone
- (585) 815-6710
- Mailing Fax
- (585) 815-6711
- Practice Street Address
- 229 Summit St Ste 4
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1645
- Practice Country
- US
- Practice Phone
- (585) 815-6710
- Practice Fax
- (585) 815-6711
- Enumeration Date
- June 08, 2018
- Last Updated
- August 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Nurse Practitioner (363L00000X)