Individual
LUANN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
501 KINGS HWY E, SUITE 202, FAIRFIELD, CT 06825-4867
(203) 367-2273
(203) 382-0856
Mailing address
501 KINGS HWY E, SUITE 202, FAIRFIELD, CT 06825-4867
(203) 367-2273
(203) 382-0856
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000137
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004209632
—
CT
Enumeration date
04/03/2007
Last updated
06/29/2016
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