Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SELENA ROSE RUSSO, PA-C
Active Sole ProprietorSELENA ROSE RUSSO, PA-C is a Physician Assistant healthcare provider located in AIEA, Hawaii. NPI 1801300694 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · AIEA, HI
Registration Details
- NPI Number
- 1801300694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2017 (8.5563537766022 yrs)
- Last Updated
- Oct 29, 2024
- License
-
AMD-1004 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
99-115 AIEA HEIGHTS DR STE 276BAIEA, HI, 967013924Browse HI providers · Browse ZIP 96701
- Phone
- 8087843050
- Fax
- 8084865558
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in AIEA, HI
| Name | Credential | NPI |
|---|---|---|
| MRS. TOMAO LUU ROSE | PHYSICIAN ASSISTANT | 1932139102 |
| ANITA G ISHAQ-JUAREZ | PA-C | 1982102604 |
| KYLER JORDAN MASONHEIMER | PA-C | 1962135509 |
| ROCHELLE COLOMA | PA-C | 1235859539 |
| NADIA MOANI KNIGHTS | PA | 1760106926 |
| MIA LEI CZERWINSKI | PA-C | 1225810310 |
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.