Russo, Susan Lee

Russo, Susan Lee is an individual health care provider with primary practice located at 4001 Fair Ridge Dr Suite 303, Fairfax VA 22033-2917. 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, Susan Lee can be contacted via phone (703) 359-4842.

Contact Information

Primary practice address
4001 Fair Ridge Dr Suite 303 Fairfax VA 22033-2917
Phone: (703) 359-4842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024094866 Virginia

Profile Details

NPI number 1962493866
LBN Legal business name Russo, Susan Lee
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 16 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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