Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE MARIE RUSSO, MSN, RN, CCRN, CPNP
ActiveNICOLE MARIE RUSSO, MSN, RN, CCRN, CPNP is a Pediatric Nurse Practitioner healthcare provider located in STONY BROOK, New York. NPI 1518859545 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · STONY BROOK, NY
Registration Details
- NPI Number
- 1518859545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2025 (1.0622547790962 yrs)
- Last Updated
- Dec 21, 2025
- Licenses
-
776987 (NY)393742 (NY)
Practice Information
- Address
-
HSC T11-020STONY BROOK, NY, 117940001Browse NY providers · Browse ZIP 11794
- Phone
- 5163066989
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in STONY BROOK, NY
| Name | Credential | NPI |
|---|---|---|
| ANN COURTNEY | CPNP | 1235128638 |
| MS. KATHLEEN C USMANI | CPNP | 1427096742 |
| MS. LISA ROMARD | PNP. | 1174566079 |
| MS. THERESA MARIE VLAHOS | N.P. | 1184845661 |
| MS. KAMMY MCLOUGHLIN | NP | 1114119161 |
| MRS. TARA FLOCCO | RN, NP | 1043485998 |
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.