Individual provider · Type 1 NPI
Donna Rust, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1477711232
Active
Practice location
34th Street And Civic Center Boulevard, Main Building - Room 6NE67
Philadelphia, PA 19104-4399
Fax (267) 426-7385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP007336 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477711232
Donna Rust, CRNP's National Provider Identifier is 1477711232, issued on May 29, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 29, 2008.