Anna Russo
Physician Assistant in Waterbury, Connecticut
1184000978- Practice location
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone
- 203-709-6000
- Fax
- —
- Last updated
- January 10, 2025
Anna Russo is a Physician Assistant based in Waterbury, CT. Anna Russo practices in Waterbury, CT. The NPI Number for Anna Russo is 1184000978 and holds a License No. PA5541 (MA). The current practice location address for Anna Russo is 56 Franklin St, Waterbury, CT 06706-1253 and can be reached out via phone at 203-709-6000.
Provider Profile Details
- NPI Number
- 1184000978
- Provider Name
- Anna Russo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone Number
- 203-709-6000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 4, 2015
- Last Update Date
- January 10, 2025
- Certification Date
- January 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Franklin St
Waterbury, CT 06706-1253 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1253
- Phone Number
- 203-709-6000
Provider Business Mailing Address Details
- Address
- 110 Lawnwood Ave
Longmeadow, MA 01106-3021 - City
- Longmeadow
- State
- MA
- Zip
- 01106-3021
License Information
- License Number (1)
- PA5541
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Anna Russo?
The NPI number of Anna Russo is 1184000978. It was assigned on August 4, 2015 and is currently active in the NPPES registry.
What is the specialty of Anna Russo?
Anna Russo is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5541.
Where does Anna Russo practice?
The practice location is 56 Franklin St, Waterbury, CT 06706-1253. The office can be reached at 203-709-6000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184000978 directly on the NPPES registry website.