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NPI Code Detail

MEDICARE: COURTNEY TAYLOR RUSS CNP

MEDICARE: COURTNEY TAYLOR RUSS CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner0036753OH
2363LF0000XFamily Nurse Practitioner0036753OH

General Provider Information

NPI Number : 1962246470
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY TAYLOR RUSS CNP
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 440-242-1824
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0002
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 03/05/2026

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Directions to “ COURTNEY TAYLOR RUSS CNP” Practice Location

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