Individual
MRS. DYNELLA RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
125 W COPELAND DR, ORLANDO, FL 32806-3280
(321) 841-7090
Mailing address
125 W COPELAND DR, ORLANDO, FL 32806-2015
(321) 841-7090
(321) 843-2267
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008263
FL
363LF0000X
Family Nurse Practitioner
26NJ00739600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
26NR16740400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
593722
NY
Other
Enumeration date
07/24/2014
Last updated
03/20/2026
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