NPI | 1023745916 |
---|---|
Former Name | ALISSA LOREN RUSU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.416616) |
Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN.416616) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032017) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0032017) | |
Enumeration Date | 2022-08-02 |
Last Update Date | 2025-07-16 |