Individual
THERESA M RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1280 W CENTRAL ST STE 201, FRANKLIN, MA 02038-3110
(508) 541-8000
(508) 541-6749
Mailing address
9 INDUSTRIAL RD, SUITE 5, MILFORD, MA 01757-3735
(508) 473-1480
(508) 473-1210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2293895
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2293895
MA
Other
Enumeration date
10/31/2016
Last updated
08/27/2025
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