Individual
CRISTA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
741 N MACOMB ST APT 1, MONROE, MI 48162-2970
(703) 597-9034
Mailing address
741 N MACOMB ST APT 1, MONROE, MI 48162-2970
(703) 597-9034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704380247
MI
Other
Enumeration date
01/08/2024
Last updated
09/11/2025
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