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Suzanne S Rusk, PNP
Pediatric Nurse Practitioner in Wyoming, Minnesota
NPI 1528152915

Suzanne S Rusk is a Pediatric Nurse Practitioner based in Minneapolis, MN and is specialized in Pediatrics. Suzanne S Rusk practices in Wyoming, MN and has the professional credentials of PNP. The NPI Number for Suzanne S Rusk is 1528152915 and holds a License No. R-111703-1 (Minnesota).

The current practice location address for Suzanne S Rusk is 5200 Fairview Boulevard, Wyoming, MN and can be reached out via phone at 651-682-7340 and via fax at 651-982-7349.

Location: 5200 Fairview Boulevard, Wyoming, MN, 55440-9372
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Provider Profile Details
NPI Number
1528152915
Provider Name
Suzanne S Rusk
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
5200 Fairview Boulevard, Wyoming, MN, 55440-9372
Phone Number
651-682-7340
Fax Number
651-982-7349
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42088721 05 NM
institution
Provider Business Practice Location Address Details
Address
5200 Fairview Boulevard
City
State
Zip
55092
Phone Number
651-682-7340
Fax Number
651-982-7349
person
Provider Business Mailing Address Details
Address
5200 Fairview Boulevard
City
State
Zip
55092
Phone Number
651-682-7340
Fax Number
651-982-7349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R-111703-1 (Minnesota)
Definition
Definition to come...
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