Rusz, Chantel M

Rusz, Chantel M is an individual health care provider with primary practice located at 4243 Nw Federal Hwy , Jensen Beach FL 34957-3600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Rusz, Chantel M can be contacted via phone (800) 735-1178.

Contact Information

Primary practice address
4243 Nw Federal Hwy Jensen Beach FL 34957-3600
Fax: (772) 223-6354
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11000792 Florida

Profile Details

NPI number 1962939942
LBN Legal business name Rusz, Chantel M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Aug 2nd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962939942 NPPES
Florida MEDICAID 103739000

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