Individual
CARA LYNN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
50 BOSTON ST, LYNN, MA 01904-2538
(781) 342-4191
(833) 450-5157
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
522839
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2277205
MA
Other
Enumeration date
10/30/2013
Last updated
03/11/2024
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