Individual
AMBER NICOLE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2201 51ST ST N, SAINT PETERSBURG, FL 33710-3510
(727) 421-4379
Mailing address
2201 51ST ST N, SAINT PETERSBURG, FL 33710-3510
(727) 421-4379
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11002431
FL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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