Phyllis June Russo, MSN, ARNP, GCNS-BC
Phyllis June Russo, MSN, ARNP, GCNS-BC is a Nurse Practitioner in Bonita Springs, Florida. Qualified in 1985, 41 years ago. Practices with Colin Kanar MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.
- Years since qualifying
- 41
- Licensed in
- CT, FL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
3368 Woods Edge Cir Ste 104Bonita Springs, FL 34134-3437
Phone: (239) 495-5315
Fax: (239) 596-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence ARNP 2128402 (FL) |
|---|---|
| Gerontology Clinical Nurse Specialist | Taxonomy 364SG0600X · Licence 0134457-18 (CT) |
Record details
| NPI number | 1932108586 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSN , ARNP , GCNS-BC |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2005 |
| Last updated in NPPES | December 9, 2009 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 1985 (41 years in practice) |
| Group practice | Colin Kanar Md Pa — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |