Russo, Theresa Marie

Russo, Theresa Marie is an individual health care provider with primary practice located at 7531 Santa Monica Blvd Ste 101A , West Hollywood CA 90046-6481. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Russo, Theresa Marie can be contacted via phone (323) 988-5900.

Contact Information

Primary practice address
7531 Santa Monica Blvd Ste 101A West Hollywood CA 90046-6481
Phone: (323) 988-5900
Fax: (323) 400-4238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 227170 Massachusetts

Profile Details

NPI number 1972904506
LBN Legal business name Russo, Theresa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2014
Last updated Feb 25th, 2020 - about 4 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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