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Kristin Russo, WHNP-BC
Women's Health Nurse Practitioner in Slidell, Louisiana
NPI 1174971394

Kristin Russo is a Women's Health Nurse Practitioner based in Slidell, LA and is specialized in Women's Health. Kristin Russo practices in Slidell, LA and has the professional credentials of WHNP-BC. The NPI Number for Kristin Russo is 1174971394 and holds a License No. AP08757 (Louisiana).

The current practice location address for Kristin Russo is 105 Medical Center Dr, Slidell, LA and can be reached out via phone at 985-661-3591.

Location: 105 Medical Center Dr, Slidell, LA, 70461-5544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174971394
Provider Name
Kristin Russo
Credential
WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
105 Medical Center Dr, Slidell, LA, 70461-5544
Phone Number
985-661-3591
Fax Number
Provider Enumeration Date
05/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2428357 05 LA
09801776 05 MS
institution
Provider Business Practice Location Address Details
Address
105 Medical Center Dr
City
Slidell
State
Louisiana
Zip
70461-5544
Phone Number
985-661-3591
Fax Number
person
Provider Business Mailing Address Details
Address
105 Medical Center Dr
City
Slidell
State
Louisiana
Zip
70461-5544
Phone Number
985-661-3591
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
AP08757 (Louisiana)
Definition
Definition to come...
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