Individual
NICHOLAS CHARLES RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1421 N 7TH ST, TERRE HAUTE, IN 47807-1005
(812) 232-7192
Mailing address
1 SYCAMORE ST APT 137, TERRE HAUTE, IN 47807-2622
(812) 827-6409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28213636A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
124319
IN
Other
Enumeration date
12/26/2018
Last updated
06/18/2021
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