DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TANYA RUSSO, DO

Active

DR. TANYA RUSSO, DO is a Pediatrics healthcare provider located in ALBEMARLE, North Carolina. NPI 1013906098 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ALBEMARLE, NC

Registration Details

NPI Number
1013906098
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2005 (20.831637299631 yrs)
Last Updated
Feb 2, 2017
Licenses
0574 (SC)
2015-02335 (NC)

Practice Information

Address
105 YADKIN ST
SUITE 303
ALBEMARLE, NC, 280013449
Browse NC providers · Browse ZIP 28001
Phone
8035322208
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in ALBEMARLE, NC

Name Credential NPI
ELAINE M COATS MD 1477534543
MR. LANNY LEE MONROE JR. MD 1033156245
DR. LINDA WILLIAMSON LAWRENCE M.D. 1013932029
DR. SUSAN CAROL WATSON M.D. 1255356655
LAMONICA BARNUM 1114118353
MANJULA RANI PETCHETTI MD 1760658447
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.