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

Mrs. Kelly Derchi Russo

Individual provider Family Nurse Practitioner · NPI 1730925488

Mrs. Kelly Derchi Russo is a Family Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2024.

Licensed in
MA
In the registry since
2024

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-1231
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN280616 (MA)

Record details

NPI number1730925488
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

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