Russo, Nicolette Ann
Russo, Nicolette Ann is an sole proprietor health care provider with primary practice located at 1231 Vester Ave , Springfield OH 45503-1303. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Russo, Nicolette Ann can be contacted via phone (937) 342-0689.Contact Information
Primary practice address
1231 Vester Ave
Springfield OH 45503-1303
Phone: (937) 342-0689
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN 153812 | Ohio |
Profile Details
| NPI number | 1689858730 |
|---|---|
| LBN Legal business name | Russo, Nicolette Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2007 |
| Last updated | Dec 26th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689858730 | NPPES |
| Ohio | MEDICAID | 2208953 |
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