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Nina Rusiana, APN
Family Nurse Practitioner in Villa Park, Illinois
NPI 1376828194

Nina Rusiana is a Family Nurse Practitioner based in Conshohocken, IL and is specialized in Family. Nina Rusiana practices in Villa Park, IL and has the professional credentials of APN. The NPI Number for Nina Rusiana is 1376828194 and holds a License No. 209009024 (Illinois).

The current practice location address for Nina Rusiana is 200 E Roosevelt Rd, Villa Park, IL and can be reached out via phone at 866-825-3227.

Location: 200 E Roosevelt Rd, Villa Park, IL, 19428-2083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376828194
Provider Name
Nina Rusiana
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
200 E Roosevelt Rd, Villa Park, IL, 19428-2083
Phone Number
866-825-3227
Fax Number
Provider Enumeration Date
10/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 E Roosevelt Rd
City
Villa Park
State
Illinois
Zip
60181-3500
Phone Number
866-825-3227
Fax Number
person
Provider Business Mailing Address Details
Address
200 E Roosevelt Rd
City
Villa Park
State
Illinois
Zip
60181-3500
Phone Number
866-825-3227
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209009024 (Illinois)
Definition
Definition to come...
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