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Individual

MRS. CARROLL NSUBUGA-RUZBASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(866) 799-5886
Mailing address
324 ELM ST, SUITE 202B, MONROE, CT 06468-2280
(203) 880-5335

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6580
CT
363LP2300X
Primary Care Nurse Practitioner
12.006580
CT

Other

Enumeration date
08/01/2016
Last updated
01/25/2024
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