Rustia, Janet

Rustia, Janet is an individual health care provider with primary practice located at 6138 Kennerly Rd Ste 201 , Jacksonville FL 32216-4395. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Rustia, Janet can be contacted via phone (904) 208-4120.

Contact Information

Primary practice address
6138 Kennerly Rd Ste 201 Jacksonville FL 32216-4395
Phone: (904) 208-4120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26N009399700 New Jersey
Nursing Service Providers / Registered Nurse 163W00000X ARNP9287785 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9287785 Florida

Profile Details

NPI number 1053529131
LBN Legal business name Rustia, Janet
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Aug 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053529131 NPPES
Florida MEDICAID 003349000

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