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Debra Ann Rustad, RN,CNP
Gerontology Nurse Practitioner in St Louis Park, Minnesota
NPI 1487659587

Debra Ann Rustad is a Gerontology Nurse Practitioner based in Bloomington, MN and is specialized in Gerontology. Debra Ann Rustad practices in St Louis Park, MN and has the professional credentials of RN,CNP. The NPI Number for Debra Ann Rustad is 1487659587 and holds a License No. R092748-4 (Minnesota).

The current practice location address for Debra Ann Rustad is 3850 Park Nicollet Blvd, St Louis Park, MN and can be reached out via phone at 952-993-5041 and via fax at 952-993-3236. You can also correspond with Debra Ann Rustad through the mailing address at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN - 55425-4516 (mailing address contact number: ).

Location: 3850 Park Nicollet Blvd, St Louis Park, MN, 55425-4516
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Provider Profile Details
NPI Number
1487659587
Provider Name
Debra Ann Rustad
Credential
RN,CNP
Provider Entity Type
Individual
Gender
Female
Address
3850 Park Nicollet Blvd, St Louis Park, MN, 55425-4516
Phone Number
952-993-5041
Fax Number
952-993-3236
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090529100 05 MN
institution
Provider Business Practice Location Address Details
Address
3850 Park Nicollet Blvd
City
State
Zip
55416-2527
Phone Number
952-993-5041
Fax Number
952-993-3236
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Provider Business Mailing Address Details
Address
8170 33Rd Ave S # Ms 21110Q
City
State
Zip
55425-4516
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R092748-4 (Minnesota)
Definition
Definition to come...
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