Rusk, Suzanne S
Rusk, Suzanne S is an individual health care provider with primary practice located at 5200 Fairview Boulevard Fairview Lakes Pediatrics, Wyoming MN 55092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rusk, Suzanne S can be contacted via phone (651) 682-7340.Contact Information
Primary practice address
5200 Fairview Boulevard Fairview Lakes Pediatrics
Wyoming MN 55092
Phone: (651) 682-7340
Fax: (651) 982-7349
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R-111703-1 | Minnesota |
Profile Details
NPI number | 1528152915 |
---|---|
LBN Legal business name | Rusk, Suzanne S |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Dec 26th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528152915 | NPPES |
New Mexico | MEDICAID | 42088721 |
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