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Ms. Marguerite M Russo, CRNP
Family Nurse Practitioner in Baltimore, Maryland
NPI 1851530919

Marguerite M Russo is a Family Nurse Practitioner based in Baltimore, MD and is specialized in Family. Marguerite M Russo practices in Baltimore, MD and has the professional credentials of CRNP. The NPI Number for Marguerite M Russo is 1851530919 and holds a License No. R142683 (Maryland).

The current practice location address for Marguerite M Russo is 22 S Greene St, Baltimore, MD and can be reached out via phone at 410-328-0838 and via fax at 410-328-0509.

Location: 22 S Greene St, Baltimore, MD, 21264-4442
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Provider Profile Details
NPI Number
1851530919
Provider Name
Marguerite M Russo
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
22 S Greene St, Baltimore, MD, 21264-4442
Phone Number
410-328-0838
Fax Number
410-328-0509
Provider Enumeration Date
02/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
044553300 05 MD
S062-0574 01 MD CAREFIRST BC/BS
R142683 01 MD STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
22 S Greene St
City
State
Zip
21201-1544
Phone Number
410-328-0838
Fax Number
410-328-0509
person
Provider Business Mailing Address Details
Address
22 S Greene St
City
State
Zip
21201-1544
Phone Number
410-328-0838
Fax Number
410-328-0509
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R142683 (Maryland)
Definition
Definition to come...
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