Individual provider · Type 1 NPI

Debra Ann Rustad, RN, CNP

Gerontology Nurse Practitioner · St. Louis Park, MN

NPI number 1487659587 Active

Practice location

3850 Park Nicollet Blvd, Park Nicollet Clinic--Senior Services-- 3rd Floor
St. Louis Park, MN 55416-2527

Call (952) 993-5041 Map

Fax (952) 993-3236

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR092748-4 (MN)

Gerontology Nurse Practitioner: Definition to come...

222 other providers at this address

Other gerontology nurse practitioner providers in St. Louis Park

See all in St. Louis Park →

About NPI 1487659587

Debra Ann Rustad, RN, CNP's National Provider Identifier is 1487659587, issued on Jun 15, 2005. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 18, 2021.