Vanessa Russo, MSC is a
Nutritionist based in Stratford, Connecticut. Vanessa Russo is licensed to practice in * (Not Available) (license number ) and her current practice location is
455 E Main St, Stratford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 243-9975.
NPI number for Vanessa Russo is 1740967470 and her current mailing address is 455 E Main St, Stratford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740967470.
Healthcare Provider's Profile
| Full Name | Vanessa Russo |
|---|
| Gender | Female |
|---|
| Speciality | Nutritionist |
|---|
| Location | 455 E Main St, Stratford, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740967470
- Provider Enumeration Date: 07/04/2023
- Last Update Date: 04/16/2025
Medical Identifiers
Medical identifiers for Vanessa Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740967470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 002324 (Connecticut) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vanessa Russo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Vanessa Russo, MSC 455 E Main St, Stratford, CT 06614-4420 Ph: (203) 243-9975 | Vanessa Russo, MSC 455 E Main St, Stratford, CT 06614-4420 Ph: (203) 243-9975 |
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