Whalio Doctors

NPI 1003059106

Ellen Susan Russo, APRNBC

Practitioner Adult Psychiatric/Mental Health Clinical Nurse Specialist Perry Point, MD

Practice location

Address
Circle Drive Building 5h, Perry Point, MD 21902
Phone
(410) 642-2411

Registered specialties

Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence R046307 (MD)

Registry record

NPI
1003059106
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Apr 2009
Record last updated
20 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.