Individual
KELSEY RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 NJ-33, NEPTUNE, NJ 07753
(732) 775-5500
Mailing address
1550 MEETING HOUSE RD, SEA GIRT, NJ 08750-2207
(908) 692-4391
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01099000
NJ
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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