Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELLEN SUSAN RUSSO, APRN,BC
Active Sole ProprietorMRS. ELLEN SUSAN RUSSO, APRN,BC is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in PERRY POINT, Maryland. NPI 1003059106 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · PERRY POINT, MD
Registration Details
- NPI Number
- 1003059106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2009 (17.27804498878 yrs)
- Last Updated
- Apr 20, 2009
- License
-
R046307 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
CIRCLE DRIVEBUILDING 5HPERRY POINT, MD, 21902Browse MD providers · Browse ZIP 21902
- Phone
- 4106422411
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.