Suzanne S Rusk, PNP | |
5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 | |
(651) 682-7340 | |
(651) 982-7349 |
Full Name | Suzanne S Rusk |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 5200 Fairview Boulevard, Wyoming, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528152915 | NPI | - | NPPES |
42088721 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | R-111703-1 (Minnesota) | Primary |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Suzanne S Rusk, PNP Po Box 9372, Fairview Health Services, Minneapolis, MN 55440-9372 Ph: (612) 672-2294 | Suzanne S Rusk, PNP 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 Ph: (651) 682-7340 |
Molly Levy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 | |
Mickey Mason Muller, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7300 | |
Antonette Trapp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Jakiann Marie Mork, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7893 | |
Nancy Middlestead, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Megan Ann Merrill, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |