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Individual

MRS. JANIS D. RUSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
8752 E VIA DE COMMERCIO STE 2, SCOTTSDALE, AZ 85258-3396
(480) 425-8700
(480) 425-8701
Mailing address
8752 E VIA DE COMMERCIO, STE 2, SCOTTSDALE, AZ 85258-3396
(480) 425-8700
(480) 425-8701

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2454
AZ

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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