Active NPIIndividual providerSole proprietor

Vanessa Russo, MSC

Nutritionist in Stratford, Connecticut

NPI Number1740967470
Practice location
455 E Main St, Stratford, CT 06614-4420
Fax
—
Last updated
April 16, 2025

Vanessa Russo is a Nutritionist based in Stratford, CT. Vanessa Russo practices in Stratford, CT and has the professional credentials of MSC. The NPI Number for Vanessa Russo is 1740967470 and holds a License No. 002324 (CT). The current practice location address for Vanessa Russo is 455 E Main St, Stratford, CT 06614-4420 and can be reached out via phone at 203-243-9975.

Provider Profile Details

NPI Number
1740967470
Provider Name
Vanessa Russo
Credential
MSC
Provider Entity Type
Individual
Gender
Female
Address
455 E Main St, Stratford, CT 06614-4420
Phone Number
203-243-9975
Primary Taxonomy
Nutritionist · 133N00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2023
Last Update Date
April 16, 2025
Certification Date
April 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 E Main St
Stratford, CT 06614-4420
Zip
06614-4420
Phone Number
203-243-9975
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
455 E Main St
Stratford, CT 06614-4420
City
Stratford
State
CT
Zip
06614-4420
Phone Number
203-243-9975

License Information

License Number (1)
002324
License State (1)
CT
Taxonomy (1)
Chiropractor · 111N00000X
Taxonomy (2)
Nutritionist · 133N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Vanessa Russo, MSC?

The NPI number of Vanessa Russo, MSC is 1740967470. It was assigned on July 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Vanessa Russo, MSC?

Vanessa Russo, MSC is registered under the primary taxonomy Nutritionist (code 133N00000X), licensed in CT under license number 002324.

Where does Vanessa Russo, MSC practice?

The practice location is 455 E Main St, Stratford, CT 06614-4420. The office can be reached at 203-243-9975 (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 1740967470 directly on the NPPES registry website.

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