# OLIVIA RUSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770356750
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 10027844 | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1154869 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209030010 | IL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 301831 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 79615 | ID | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN11028491 | FL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | CP003388 | SD | — |

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 06/05/2025