Individual
NANCY RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 696-3347
Mailing address
1301 W 3RD ST, GILLETTE, WY 82716-3335
(307) 696-3347
(307) 685-8027
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30608.1174
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ST09.08.10
—
CO
Enumeration date
05/20/2010
Last updated
04/06/2016
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