Amy R Russo CRNA

NPI 1730476771 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1730476771
Gender Female
Enumeration Date 06/28/2011
Last Updated 10/27/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS MO, 63110-1003, US
Phone (314) 362-6973
Fax (314) 362-1185
Business Location
660 S EUCLID AVE
C B 8054
SAINT LOUIS MO, 63110-1010, US
Phone (314) 362-6973
Fax (314) 362-1185
Toxanomy
Taxonomy Code 367500000X
License State Missouri
License Number 2008030955
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According to our database, Ms. Amy R Russo CRNA NPI is 1730476771, taxonomy code is 367500000X and license number is 2008030955, license state is located at Missouri. Amy R Russo CRNA physically located at 1 Barnes Jewish Hospital Plz, Saint Louis MO, 63110-1003. NPI Number Amy R Russo CRNA has the Individual type.

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1730476771 NPI number is provided on an as is basis without warranty of any kind. 1730476771 is maintained by the National Plan & Provider Enumeration System. The contents of Amy R Russo CRNA are for informational purposes only.