Russo, Dawn Marie

Russo, Dawn Marie is an sole proprietor health care provider with primary practice located at 3301 Overseas Hwy , Marathon FL 33050-2398. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Russo, Dawn Marie can be contacted via phone (516) 368-4989.

Contact Information

Primary practice address
3301 Overseas Hwy Marathon FL 33050-2398
Phone: (516) 368-4989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 413287 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332165 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11014872 Florida

Profile Details

NPI number 1376663849
LBN Legal business name Russo, Dawn Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Nov 23rd, 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.

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