Individual
JARROD A RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4520 MONTGOMERY BLVD NE STE 6, ALBUQUERQUE, NM 87109-1291
(505) 501-4710
Mailing address
4520 MONTGOMERY BLVD NE STE 6, ALBUQUERQUE, NM 87109-1291
(505) 501-4710
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
947329
NY
367500000X
Certified Registered Nurse Anesthetist
APN12234
TN
367500000X
Certified Registered Nurse Anesthetist
CRNA-01219
NM
367500000X
Certified Registered Nurse Anesthetist
RN116970
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3636848
—
TN
01
—
4137575
BCBS OF TN
TN
01
—
P00362861
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
08/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us