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Individual

ANDREA RUSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
13511 WARDER CT, HUNTERSVILLE, NC 28078-5248
(704) 838-6692

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100059
NC

Other

Enumeration date
01/20/2014
Last updated
10/28/2020
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