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

Mr. Paul Robert Russo, FNP

Individual provider Nurse Practitioner · NPI 1164465753

Mr. Paul Robert Russo, FNP is a Nurse Practitioner in San Diego, California. Licensed in California and Texas. Registered with an NPI since 2006.

Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-8109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1112141 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence NP10524 (CA)

Record details

NPI number1164465753
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

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