Russo, Shelly

Russo, Shelly is an individual health care provider with primary practice located at 1215 Jacaranda Blvd , Venice FL 34292-4520. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Russo, Shelly can be contacted via phone (941) 451-8282.

Contact Information

Primary practice address
1215 Jacaranda Blvd Venice FL 34292-4520
Phone: (941) 451-8282
Fax: (877) 652-3059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11021994 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11021994 Florida

Profile Details

NPI number 1104549187
LBN Legal business name Russo, Shelly
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2022
Last updated Sep 23rd, 2022 - about 3 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.

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