NPI 1134006331

Nellie R Russotto

Practitioner Phlebotomy Technician East Berlin, CT

Practice location

Address: 1224 Mill St STE 224, East Berlin, CT 06023-1159
Phone: (657) 566-2588

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 25482899 (CT)

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Registry record

NPI: 1134006331
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Aug 2025
Record last updated: 25 Aug 2025

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.