SearchMinnesotaGerontology Nurse Practitioner

Debra Rustad, RN, CNP

NPI 1487659587 · on the registry since 2005 · sole proprietor

Practice

Address
3850 Park Nicollet Blvd
Park Nicollet Clinic--Senior Services-- 3rd Floor
St Louis Park, MN 55416
Phone
(952) 993-5041
Fax
(952) 993-3236
Organisation at this address
Park Nicollet Clinic
Park Nicollet Health Care Products
Inferred from a shared address, not stated in the registry.
Clinicians at this address
204

Registry record

Primary taxonomy
Gerontology Nurse Practitioner
363LG0600X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota