Debra Ann Rustad, RN, CNP

NPI #1487659587 in St Louis Park, Minnesota

Provider Information

NPI Number
1487659587
Entity Type
Individual
Name
Debra Ann Rustad, RN, CNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Gerontology
Credential
RN, CNP
Enumeration Date
Jun 15, 2005
Last Updated
Mar 18, 2021

Practice Location

Address
3850 PARK NICOLLET BLVD
Address 2
PARK NICOLLET CLINIC--SENIOR SERVICES-- 3RD FLOOR
ZIP Code
55416-2527
Phone
(952) 993-5041

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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