PHYLLIS JUNE RUSSO

BONITA SPRINGS, FL
NPI1932108586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  ARNP 2128402)
Additional Taxonomies364SG0600X Clinical Nurse Specialist, Gerontology
(Licence: CT  0134457-18)
Enumeration Date2005-07-16
Last Update Date2009-12-09
Business Address
-- PHYLLIS JUNE RUSSO MSN, ARNP, GCNS-BC
3368 WOODS EDGE CIR SUITE 104
BONITA SPRINGS, FL 34134-3437
Phone number: 239-495-5315
Mailing Address
-- PHYLLIS JUNE RUSSO MSN, ARNP, GCNS-BC
2675 CREEK LN # 202
NAPLES, FL 34119-7992
Phone number: 239-860-7587