Individual
SANDRA JANE RUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
910 FREMONT ST, UWSP HEALTH SERVICE, STEVENS POINT, WI 54481-3105
(715) 346-4304
Mailing address
1405 LAKE DR, ROSHOLT, WI 54473-9164
(715) 446-2508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
156
WI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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