Individual
COREY D RUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1814 WESTCHESTER DR, STE 301, HIGH POINT, NC 27262-7299
(336) 802-2025
(336) 802-2026
Mailing address
1701 WESTCHESTER DR, STE 850, HIGH POINT, NC 27262-7008
(336) 802-2400
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
01113
NC
363L00000X
Nurse Practitioner
Primary
5001113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212660004
DME
NC
05
—
7004782
—
NC
Enumeration date
04/28/2006
Last updated
03/09/2016
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