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Individual
VANESSA ANN RUSSINO
Active
Individual
VANESSA ANN RUSSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9403985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015739100
—
FL
01
—
II238Z
MEDICARE
FL
01
—
Y0T5B
BCBS
FL
Enumeration date
08/22/2009
Last updated
07/21/2022
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