Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn D Russo, NP

Individual provider Family Nurse Practitioner · NPI 1124299631

Kathryn D Russo, NP is a Family Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2008.

Licensed in
MA
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

147 Milk St Provider Enrollment Dept - 9TH Fl
Boston, MA 02109-4806
Phone: (617) 559-8374
Fax: (617) 421-3487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 239289 (MA)

Record details

NPI number1124299631
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 13, 2008
Last updated in NPPESMarch 13, 2008

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