NPI 1972707396

Nadine Ann Russo

Practitioner Preferred Provider Organization Plainville, CT

Practice location

Address: 91 Northwest Dr, Plainville, CT 06062-1534
Phone: (860) 793-3809
Mailing address: 87 Harvest Ln, Plantsville, CT 06479-1041

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1972707396
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2007
Record last updated: 8 Jul 2007

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.