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Russell Charles Pisano, NP
Family Nurse Practitioner in Rancho Mirage, California
NPI 1952413098

Russell Charles Pisano is a Family Nurse Practitioner based in Rancho Mirage, CA and is specialized in Family. Russell Charles Pisano practices in Rancho Mirage, CA and has the professional credentials of NP. The NPI Number for Russell Charles Pisano is 1952413098 and holds a License No. DC23350 (California).

The current practice location address for Russell Charles Pisano is 72780 Country Club Dr Ste 203, Rancho Mirage, CA and can be reached out via phone at 760-834-3593 and via fax at 760-674-3845.

Location: 72780 Country Club Dr Ste 203, Rancho Mirage, CA, 92270-4150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952413098
Provider Name
Russell Charles Pisano
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
72780 Country Club Dr Ste 203, Rancho Mirage, CA, 92270-4150
Phone Number
760-834-3593
Fax Number
760-674-3845
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP21901 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
72780 Country Club Dr Ste 203
City
Rancho Mirage
State
California
Zip
92270-4150
Phone Number
760-834-3593
Fax Number
760-674-3845
person
Provider Business Mailing Address Details
Address
72780 Country Club Dr Ste 203
City
Rancho Mirage
State
California
Zip
92270-4150
Phone Number
760-834-3593
Fax Number
760-674-3845
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
NP21901 (California)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
DC23350 (California)
Definition
Definition to come...
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