Individual
ASHLEY MICHELLE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
440 E HUNTINGTON DR STE 200, ARCADIA, CA 91006-3775
(626) 254-2293
Mailing address
1446 N KEYSTONE ST, BURBANK, CA 91506-1008
(727) 480-0180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015708
CA
Other
Enumeration date
10/18/2020
Last updated
05/11/2023
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