Individual
ROSEMARIE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(685) 885-4382
Mailing address
1400 8TH AVE # CN362, FORT WORTH, TX 76104-4110
(817) 927-6252
(817) 922-2327
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
706436
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
118268
TX
363LN0000X
Neonatal Nurse Practitioner
61479487
WA
Other
Enumeration date
04/22/2009
Last updated
11/30/2023
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