person
Kristin Theresa Russo, FNP
Family Nurse Practitioner in Southampton, New York
NPI 1801511837

Kristin Theresa Russo is a Family Nurse Practitioner based in Southampton, NY and is specialized in Family. Kristin Theresa Russo practices in Southampton, NY and has the professional credentials of FNP. The NPI Number for Kristin Theresa Russo is 1801511837 and holds a License No. 350492 (New York).

The current practice location address for Kristin Theresa Russo is 240 Meeting House Ln, Southampton, NY and can be reached out via phone at 631-638-7702 and via fax at 631-638-7327.

Location: 240 Meeting House Ln, Southampton, NY, 11968-5009
person
Provider Profile Details
NPI Number
1801511837
Provider Name
Kristin Theresa Russo
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
240 Meeting House Ln, Southampton, NY, 11968-5009
Phone Number
631-638-7702
Fax Number
631-638-7327
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Meeting House Ln
City
State
Zip
11968-5009
Phone Number
631-638-7702
Fax Number
631-638-7327
person
Provider Business Mailing Address Details
Address
240 Meeting House Ln
City
State
Zip
11968-5009
Phone Number
631-638-7702
Fax Number
631-638-7327
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
350492 (New York)
Definition
Definition to come...
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