DEBORAH RUSSO


Address: 11 Elderberry Ln, Ellington, CT 06029-2433
Phone: 8609722392

DEBORAH RUSSO (NPI# 1295358349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295358349
Entity Type Individual
Full Name DEBORAH RUSSO
Credential RN
Practice Address 11 Elderberry Ln
Ellington
CT 06029-2433
Practice Telephone 8609722392
Mailing Telephone 8609722392
Enumeration Date 2020-05-24
Last Update Date 2020-05-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1600X Registered Nurse
Specialization: Continuing Education/Staff Development
111894 CT Nursing Service Providers

Other Providers DEBORAH RUSSO

NPI Name Taxonomy Address Enumeration
1427258748 Deborah Marie Russo Licensed Practical Nurse 59 Winona Park Dr, Bernhards Bay, NY 13028-3100 2007-07-24
1780753277 Deborah Anne Russo Psychologist 127 Church St Ne Ste 350, Marietta, GA 30060-8642 2006-11-07
1861462699 Deborah Russo Social Worker 27 Sunnyside Dr, Montvale, NJ 07645-1319 2006-01-24
1093129744 Deborah J Russo Social Worker 366 Sw 5th Ave, Suite 199, Meridian, ID 83642-8600 2014-06-19
1629197546 Deborah J. Russo Psychologist 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine Outpatient Center, Greenville, NC 27834-7225 2007-03-29

Office Location

Street Address 11 ELDERBERRY LN
City ELLINGTON
State CT
Zip Code 06029-2433

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1235238643 Sean Noel Chiropractor 105 West Rd Rte 83, Ellington, CT 06029 2006-09-22
1821420977 Just Breathe Connecticut, LLC Counselor 4 West Rd, Ellington, CT 06029 2013-07-31
1518270446 Kerry Lynn Tuttle Social Worker 4 West Rd, Ellington, CT 06029 2010-07-20
1134269004 Ellington Volunteer Ambulance Corps Inc Ambulance 41 Maple St, Ellington, CT 06029-0071 2007-02-08
1225399108 Endodontic Specialists LLC Dentist 2 Chucrh St # 670, Ellington, CT 06029-0670 2012-06-06
1821008202 Stanislav Moline Dentist 2 Chucrh St, # 670, Ellington, CT 06029-0670 2006-08-09
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Taxonomy Information

Taxonomy Code 163WC1600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Continuing Education/Staff Development

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659988236 Margaret Mary Sayers Registered Nurse 477 Denslow St, Windsor Locks, CT 06096-1618 2020-09-28
1902195340 Judy Brusby Registered Nurse 70 Newport Ave, West Hartford, CT 06107-3030 2011-04-06
1073899019 Holistic Healthcare & Consultation LLC Registered Nurse 239 Plattsville Rd, Trumbull, CT 06611-3427 2011-10-21
1053575654 Julie D Culmone Registered Nurse 114 Woodland St, Dept of Surgery, Hartford, CT 06105-1208 2008-07-12
1699839910 Diane C Longobucco Registered Nurse 114 Woodland St, Hartford, CT 06105-1208 2006-12-21

Competitor

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City ELLINGTON
Zip Code 06029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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