Individual
DR. VIRGINIA RUSINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
11380 SW VILLAGE PKWY STE 100, PORT SAINT LUCIE, FL 34987-2389
(772) 301-6500
Mailing address
11380 SW VILLAGE PKWY STE 100, PORT ST LUCIE, FL 34987-2389
(772) 301-6500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95001436
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11037790
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11037790
FL
Other
Enumeration date
10/14/2014
Last updated
04/23/2026
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