Physician Assistant
SELENA RUSSO PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1801300694 · enumerated 2017-12-01 · record updated 2024-10-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: SELENA NIETO BALLESTERO
Addresses and phones
- Practice location 99-115 AIEA HEIGHTS DR STE 276B, AIEA, HI, 96701-3924 (808) 784-3050 Fax (808) 486-5558 Google Maps Apple Maps OpenStreetMap
- Mailing address 99-115 AIEA HEIGHTS DR STE 276B, AIEA, HI, 96701-3924 (718) 249-5360 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License AMD-1004 HI
In this directory
Locations and evidence
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Practice location
AIEA, HI, 967013924
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.