Russell William Bisesi, APRN BC Valid NPI

Individual provider · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Walpole, MA

NPI

1801906797

Type

Individual (Type 1)

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist (Clinical Nurse Specialist)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

364SP0807X

License number

242633 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-30

Last updated

2016-03-21