Russo, Susan Lee
Russo, Susan Lee is an individual health care provider with primary practice located at 4001 Fair Ridge Dr Suite 303, Fairfax VA 22033-2917. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Russo, Susan Lee can be contacted via phone (703) 359-4842.Contact Information
Primary practice address
4001 Fair Ridge Dr Suite 303
Fairfax VA 22033-2917
Phone: (703) 359-4842
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 0024094866 | Virginia |
Profile Details
NPI number | 1962493866 |
---|---|
LBN Legal business name | Russo, Susan Lee |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Jul 8th, 2007 - about 18 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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