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

Ryan Russo

Individual provider Clinical Nurse Specialist · NPI 1295336956

Ryan Russo is a Clinical Nurse Specialist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

2376 Soto St
San Diego, CA 92107-1410
Phone: (414) 803-6018
Show map & directions

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

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence 4605 (CA)

Record details

NPI number1295336956
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 7, 2020
Last updated in NPPESNovember 7, 2020
Certification dateNovember 7, 2020

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