KELLY DERCHI RUSSO

BOSTON, MA
NPI1730925488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MA  RN280616)
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
Mrs. KELLY DERCHI RUSSO
55 FRUIT ST
BOSTON, MA 02114-2696
Phone number: 617-726-1231
Mailing Address
Mrs. KELLY DERCHI RUSSO
9 MCDONALD FARM RD
WAKEFIELD, MA 01880-1578
Phone number: 781-572-9263