Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MS. SUSAN MARIE RUSSO
Active
Individual
MS. SUSAN MARIE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704189539
MI
363LF0000X
Family Nurse Practitioner
Primary
4704189539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704189539
FAMILY NURSE PRACTITIONER
MI
05
—
4704189539
—
MI
Enumeration date
05/10/2022
Last updated
12/20/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up