Organization
SUSAN BRUST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RENE BRUST MS, RN, CNS, NP (PSYCHIATRIC NURSE PRACTITIONER)
(507) 280-0690
Entity
Organization
Contact information
Practice address
3253 19TH ST NW, SUITE 1, ROCHESTER, MN 55901-6786
(507) 280-0690
(507) 282-6659
Mailing address
3253 19TH ST NW, SUITE 1, ROCHESTER, MN 55901-6786
(507) 280-0690
(507) 282-6659
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
R 130695-2
MN
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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