Individual
MARIA L RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
512 RODERICK ST, SUITE 200, MORGAN CITY, LA 70380-2247
(985) 380-2455
(985) 380-2470
Mailing address
512 RODERICK ST, SUITE 200, MORGAN CITY, LA 70380-2247
(985) 380-2455
(985) 380-2470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN081292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9701
ANCB
NC
Enumeration date
07/08/2006
Last updated
07/08/2007
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