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Susan Russo, CPNP-PC
Pediatric Nurse Practitioner in Austin, Texas
NPI 1073944534

Susan Russo is a Pediatric Nurse Practitioner based in Austin, TX and is specialized in Pediatrics. Susan Russo practices in Austin, TX and has the professional credentials of CPNP-PC. The NPI Number for Susan Russo is 1073944534 and holds a License No. 755964 (Texas).

The current practice location address for Susan Russo is 1301 Barbara Jordan Blvd, Austin, TX and can be reached out via phone at 512-628-1820 and via fax at 512-628-1821.

Location: 1301 Barbara Jordan Blvd, Austin, TX, 78723-3077
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Provider Profile Details
NPI Number
1073944534
Provider Name
Susan Russo
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
1301 Barbara Jordan Blvd, Austin, TX, 78723-3077
Phone Number
512-628-1820
Fax Number
512-628-1821
Provider Enumeration Date
12/10/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
333176101 05 TX
333176102 05 TX
institution
Provider Business Practice Location Address Details
Address
1301 Barbara Jordan Blvd
City
State
Zip
78723-3077
Phone Number
512-628-1820
Fax Number
512-628-1821
person
Provider Business Mailing Address Details
Address
1301 Barbara Jordan Blvd
City
State
Zip
78723-3077
Phone Number
512-628-1820
Fax Number
512-628-1821
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
755964 (Texas)
Definition
Definition to come...
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