Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 75772 | WV |
NPI | 1003232687 |
---|---|
Provider Name | Brittany Rusnak |
First Address | Wheeling, WV 26003-1615 |
Second Address | Weirton, WV 26062-5014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2014 |
Last Update Date | 20/10/2020 |