Dr. Maria Russ
Nurse Practitioner - Pediatrics
17709 Grey Eagle Rd Same
Tampa
, Florida 33647-2261
Dr. Maria Russ
Nurse Practitioner - Pediatrics
17709 Grey Eagle Rd Same
Tampa
, Florida 33647-2261
(813) 994-7736
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Dr. Maria Russ
- 17709 Grey Eagle Rd Same
- Tampa, FL
- Zip : 33647-2261
- Phone : (813) 994-7736
Second Address
- Dr. Maria Russ
- 17709 Grey Eagle Rd Same
- Tampa, FL
- Zip : 33647-2261
- Phone : (813) 994-7736
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 2562902 | FL |
National Provider Identifier
| NPI | 1023193133 |
|---|---|
| Provider Name | Dr. Maria Russ |
| First Address | Tampa, FL 33647-2261 |
| Second Address | Tampa, FL 33647-2261 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.