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Neha Russo
Family Nurse Practitioner in Eastpointe, Michigan
NPI 1063950665

Neha Russo is a Family Nurse Practitioner based in Shelby Township, MI and is specialized in Family. Neha Russo practices in Eastpointe, MI. The NPI Number for Neha Russo is 1063950665 and holds a License No. 4704283581 (Michigan).

The current practice location address for Neha Russo is 21300 Kelly Rd, Eastpointe, MI and can be reached out via phone at 586-447-4200.

Location: 21300 Kelly Rd, Eastpointe, MI, 48315-6096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063950665
Provider Name
Neha Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
21300 Kelly Rd, Eastpointe, MI, 48315-6096
Phone Number
586-447-4200
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21300 Kelly Rd
City
Eastpointe
State
Michigan
Zip
48021-3232
Phone Number
586-447-4200
Fax Number
person
Provider Business Mailing Address Details
Address
21300 Kelly Rd
City
Eastpointe
State
Michigan
Zip
48021-3232
Phone Number
586-447-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704283581 (Michigan)
Definition
Definition to come...
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