Russo, Annalise

Russo, Annalise is an individual health care provider with primary practice located at 1514 Jefferson Hwy , Jefferson LA 70121-2429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russo, Annalise can be contacted via phone (866) 624-7637.

Contact Information

Primary practice address
1514 Jefferson Hwy Jefferson LA 70121-2429
Phone: (866) 624-7637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 328185 Louisiana

Profile Details

NPI number 1558034322
LBN Legal business name Russo, Annalise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2021
Last updated Oct 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers