Individual
MS. ANELLA MARIA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
3461 STETSON ST SW, LOS LUNAS, NM 87031-6380
(505) 280-4536
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
64886
NM
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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