Theresa M Russo
Nurse Practitioner - Pediatrics
1280 W Central St Ste 201
Franklin
, Massachusetts 02038-3110
Theresa M Russo
Nurse Practitioner - Pediatrics
1280 W Central St Ste 201
Franklin
, Massachusetts 02038-3110
(508) 473-1210
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Theresa M Russo
- 9 Industrial Rd Suite 5
- Milford, MA
- Zip : 01757-3735
- Fax : (508) 473-1210
- Phone : (508) 473-1480
Second Address
- Theresa M Russo
- 1280 W Central St Ste 201
- Franklin, MA
- Zip : 02038-3110
- Fax : (508) 541-6749
- Phone : (508) 541-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN2293895 | MA |
National Provider Identifier
| NPI | 1023560653 |
|---|---|
| Provider Name | Theresa M Russo |
| First Address | Milford, MA 01757-3735 |
| Second Address | Franklin, MA 02038-3110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2016 |
| Last Update Date | 07/05/2021 |
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.