Bryce Lauren Russo, PNP

Acute Care Nurse Practitioner · Saint Louis, MO

Individual Active NPI

NPI number 1932532462

Practice location

1 Childrens Pl
Div Ped Hematology & Onc
Saint Louis, MO 63110-1002
Phone
(314) 454-6018
Fax
(844) 621-4392

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NPI record

NPI
1932532462
Entity type
Individual (Type 1)
Enumeration date
August 20, 2013
Last updated
November 15, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acute Care Nurse Practitioner Primary 363LA2100X 2019005207 MO
Primary Care Nurse Practitioner 363LP2300X 2019005207 MO

Mailing address

1 Childrens Pl
MSC 8515-87-1200
Saint Louis, MO 63110-1002
Phone
(314) 454-6018
Fax
(844) 621-4392

About Bryce Russo

Bryce Lauren Russo, PNP is a healthcare provider registered in the NPI registry with the primary taxonomy Acute Care Nurse Practitioner (code 363LA2100X). The practice location is 1 Childrens Pl, Div Ped Hematology & Onc, Saint Louis, MO 63110-1002. The NPI number 1932532462 was assigned on August 20, 2013 and the record was last updated on November 15, 2021.

Bryce Russo lists 2 licenses in the registry: #2019005207 (MO) for Acute Care Nurse Practitioner; #2019005207 (MO) for Primary Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryce Lauren Russo, PNP?

The NPI number is 1932532462.

What is the phone number of Bryce Russo?

The phone number listed for the practice location is (314) 454-6018.

Where is Bryce Russo located?

1 Childrens Pl, Div Ped Hematology & Onc, Saint Louis, MO 63110-1002.

What is the taxonomy code for Bryce Russo?

The primary taxonomy code is 363LA2100X – Acute Care Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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