person
Mrs. Susan R Brust, PSYCHNP,CNS
Psychiatric/Mental Health Nurse Practitioner in Wausau, Wisconsin
NPI 1952415085

Susan R Brust is a Psychiatric/Mental Health Nurse Practitioner based in Wautoma, WI and is specialized in Psychiatric/Mental Health. Susan R Brust practices in Wausau, WI and has the professional credentials of PSYCHNP,CNS. The NPI Number for Susan R Brust is 1952415085 and holds a License No. 8103 (Wisconsin).

The current practice location address for Susan R Brust is 1100 Lake View Dr, Wausau, WI and can be reached out via phone at 715-848-4600. You can also correspond with Susan R Brust through the mailing address at N1736 20TH RD, WAUTOMA, WI - 54982-5920 (mailing address contact number: 507-269-1841).

Location: 1100 Lake View Dr, Wausau, WI, 54982-5920
person
Provider Profile Details
NPI Number
1952415085
Provider Name
Susan R Brust
Credential
PSYCHNP,CNS
Provider Entity Type
Individual
Gender
Female
Address
1100 Lake View Dr, Wausau, WI, 54982-5920
Phone Number
715-848-4600
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125674 01 MN MMSI
162P6BR 01 MN BCBS IND NUMBER
1351033600 05 MN
164P4SU 01 MN BCBS GROUP NUMBER
83-60115 01 MN UBH
institution
Provider Business Practice Location Address Details
Address
1100 Lake View Dr
City
State
Zip
54403-6799
Phone Number
715-848-4600
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Lake View Dr
City
State
Zip
54403-6799
Phone Number
715-848-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R1306952 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
8103 (Wisconsin)
Definition
Definition to come...
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