Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP MICHAEL RUSSERTT, RN
Active Sole ProprietorPHILLIP MICHAEL RUSSERTT, RN is a Home Health Nurse healthcare provider located in BAYPORT, New York. NPI 1679046130 is currently active in the NPPES registry. Verify at CMS.
Home Health Nurse · BAYPORT, NY
Registration Details
- NPI Number
- 1679046130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2019 (7.4191393202956 yrs)
- Last Updated
- Jan 8, 2019
- License
-
604009 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27 BARRETT AVEBAYPORT, NY, 117051407Browse NY providers · Browse ZIP 11705
- Phone
- 7185170074
- Primary Specialty
-
Home Health Nurse
163WH0200X
Other Home Health Nurse Providers in BAYPORT, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. NOREEN ANN RUSSELL | RN | 1568580827 |
| MS. BRIGIT RUSSO | RN | 1730462227 |
| PATRICE CLEMENS | LPN | 1871000380 |
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.