Russo, Luann

Russo, Luann is an individual health care provider with primary practice located at 501 Kings Hwy E Suite 202, Fairfield CT 06825-4867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Russo, Luann can be contacted via phone (203) 367-2273.

Contact Information

Primary practice address
501 Kings Hwy E Suite 202 Fairfield CT 06825-4867
Phone: (203) 367-2273
Fax: (203) 382-0856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000137 Connecticut

Profile Details

NPI number 1871614826
LBN Legal business name Russo, Luann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 29th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871614826 NPPES
Connecticut MEDICAID 004209632

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