Active NPIIndividual providerSole proprietor

Ms. Theresa M Russo, NP

Nurse Practitioner in Harwich, Massachusetts

NPI Number1972904506
Practice location
Mashah Wellness Studios, 181 Rt 137, Unit 3, Terry Russo NP, Wholistic Health Care, Harwich, MA 02659
Fax
508-790-0808
Last updated
April 23, 2025

Theresa Marie Russo is a Nurse Practitioner based in Harwich, MA. Theresa Marie Russo practices in Harwich, MA and has the professional credentials of NP. The NPI Number for Theresa Marie Russo is 1972904506 and holds a License No. 227170 (MA). The current practice location address for Theresa Marie Russo is Mashah Wellness Studios, 181 Rt 137, Unit 3, Terry Russo NP, Wholistic Health Care, Harwich, MA 02659 and can be reached out via phone at 401-236-7378 and via fax at 508-790-0808.

Provider Profile Details

NPI Number
1972904506
Provider Name
Theresa Marie Russo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Mashah Wellness Studios, 181 Rt 137, Unit 3, Terry Russo NP, Wholistic Health Care, Harwich, MA 02659
Phone Number
401-236-7378
Fax Number
508-790-0808
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 15, 2014
Last Update Date
April 23, 2025
Certification Date
April 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Mashah Wellness Studios, 181 Rt 137, Unit 3
Terry Russo NP, Wholistic Health Care
Harwich, MA 02659
Zip
02659
Phone Number
401-236-7378
Fax Number
508-790-0808
Harwich, MA 02659Get directions →

Provider Business Mailing Address Details

Address
Mashah Wellness Studios, 181 Rt 137, Unit 3
Terry Russo NP, Wholistic Health Care
Harwich, MA 02659
City
Harwich
State
MA
Zip
02659
Phone Number
401-236-7378
Fax Number
508-790-0808

License Information

License Number
227170
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · 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 Ms. Theresa M Russo, NP?

The NPI number of Ms. Theresa M Russo, NP is 1972904506. It was assigned on September 15, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Theresa M Russo, NP?

Ms. Theresa M Russo, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number 227170.

Where does Ms. Theresa M Russo, NP practice?

The practice location is Mashah Wellness Studios, 181 Rt 137, Unit 3, Terry Russo NP, Wholistic Health Care, Harwich, MA 02659. The office can be reached at 401-236-7378 (phone) or 508-790-0808 (fax).

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 1972904506 directly on the NPPES registry website.

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