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Individual
MRS. DYNELLA RUSSO
Active
Individual
MRS. DYNELLA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008263
FL
363LF0000X
Family Nurse Practitioner
26NJ00739600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
26NR16740400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
593722
NY
Other
Enumeration date
07/24/2014
Last updated
03/20/2026
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