Individual
MANDY L RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2115 S FREMONT AVE STE 4300, SPRINGFIELD, MO 65804
(417) 820-3911
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012002654
MO
363LF0000X
Family Nurse Practitioner
Primary
2018021602
MO
Other
Enumeration date
06/06/2018
Last updated
05/22/2025
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