Individual
MS. BRYCE LAUREN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1 CHILDRENS PL, DIV PED HEMATOLOGY & ONC, SAINT LOUIS, MO 63110-1002
(314) 454-6018
(844) 621-4392
Mailing address
1 CHILDRENS PL, MSC 8515-87-1200, SAINT LOUIS, MO 63110-1002
(314) 454-6018
(844) 621-4392
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019005207
MO
363LP2300X
Primary Care Nurse Practitioner
2019005207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420076824
—
MO
Enumeration date
08/20/2013
Last updated
11/15/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us