Individual provider · Type 1 NPI

Nicole Schanta Rusinowski, A-GNP-C

Nurse Practitioner · Novi, MI

NPI number 1558086819 Active

Practice location

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

Call (586) 524-5968 Map

Mailing address

1319 S Washington Ave
Royal Oak, MI 48067-3200

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704321524 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1558086819

Nicole Schanta Rusinowski, A-GNP-C's National Provider Identifier is 1558086819, issued on Oct 10, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Novi, MI. The record was last updated on Apr 5, 2024.