DEBRA ANN RUSTAD

ST LOUIS PARK, MN
NPI1487659587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MN  R092748-4)
Enumeration Date2005-06-15
Last Update Date2021-03-18
Business Address
DEBRA ANN RUSTAD RN, CNP
3850 PARK NICOLLET BLVD PARK NICOLLET CLINIC--SENIOR SERVICES-- 3RD FLOOR
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-5041
Mailing Address
DEBRA ANN RUSTAD RN, CNP
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: