Justin Robert Cusick, CRNA
Registered Nurse in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1043561004
StatusActive
Last updated in NPPESSep 30, 2012
Details
- NPI
- 1043561004
- Entity type
- Individual (NPI-1)
- Name
- Justin Robert Cusick
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2012
- Last updated
- Sep 30, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R160593-8 | MN | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 091716 | MN |
Practice location
8990 Springbrook Dr Nw Ste 250Coon Rapids, MN 55433-5884
Phone 763-398-1176
Mailing address
3514 Cherry Ln Unit AWoodbury, MN 55129-8794
Phone 651-335-1665
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All 21 Registered Nurse providers in Coon Rapids · All 2,183 providers in Coon Rapids
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