Individual
DEBRA ANN RUSTAD
Active
Individual
DEBRA ANN RUSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R092748-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090529100
—
MN
Enumeration date
06/15/2005
Last updated
03/18/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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