Individual
STACY IRENE RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 NORTH RESERVATION ROAD, MCDERMITT, NV 89421-0457
(775) 532-8522
Mailing address
PO BOX 457, MCDERMITT, NV 89421-0457
(775) 532-8522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN62644
NV
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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