National Provider Identifier
Colleen A Russo, PMHNP
Colleen A Russo, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 898-4857.
Profile Overview
- NPI
- 1700216744
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- November 12, 2013
- Last Updated
- October 02, 2014
Practice Location
- 462 Grider Street
- University Psychiatry Practice, Inc
- Buffalo, NY 14215
Phone: (716) 898-4857
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1700216744
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Colleen
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- PMHNP
- Mailing Street Address
- 462 Grider Street
- Mailing Address Line 2
- University Psychiatry Practice, Inc
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215
- Mailing Country
- US
- Mailing Phone
- (716) 898-4857
- Practice Street Address
- 462 Grider Street
- Practice Address Line 2
- University Psychiatry Practice, Inc
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 898-4857
- Enumeration Date
- November 12, 2013
- Last Updated
- October 02, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)