NPI 1619023322 MRS. PAULA PETRULLO RUSSO PA SHENANDOAH JUNCTION WV. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Paula Petrullo Russo - NPI: 1619023322

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. PAULA PETRULLO RUSSO
NPI Number: 1619023322
Entity Type Code: Individual (1)
Gender: F
Credentials: PA
License Number: 00382
Business Practice Address: 207 E 5th Ave
Ranson, WV - 254381613
Business Phone Number: 3047285051
Business Fax Number: 3047289735
Mailing Address: 6568 Flowing Springs Rd,
SHENANDOAH JUNCTION
State: WV
Postal Code: 254424666
Phone Number: 3048763626
Fax Number:
NPI Enumeration Date: 01/26/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 00382
Healthcare Provider Taxonomy:
(Secondary)
Y
State: WV
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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