Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIANA RUSSOM, PA-C
ActiveMedical Physician Assistant · ROCKFORD, IL
Registration Details
- NPI Number
- 1558661702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2010 (15.501558208601 yrs)
- Last Updated
- Feb 19, 2021
- License
-
085003897 (IL)
Practice Information
- Address
-
2473 MCFARLAND RDROCKFORD, IL, 61107Browse IL providers · Browse ZIP 61107
- Phone
- 7796969202
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. KRISTIN N. RINDT | MPAS, PA-C | 1295722411 |
| MARK VANANROOY | PA | 1578541470 |
| SHANNON V. TAYLOR | PA-C | 1265412084 |
| MR. ANDREW J MASTERSON | PA-C | 1710922695 |
| TAMMY M KUCIA | PA C | 1164533097 |
| LEIGH A. RUELO | PA-C | 1902969231 |
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.