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NPI Code Detail

MEDICARE: CHANTEL M RUSZ NP

MEDICARE: CHANTEL M RUSZ NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11000792FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962939942
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTEL M RUSZ NP
Provider Business Mailing Address
First Line : 1601 NE SUCCESS DR
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5345
Country : US
Telephone Number : 804-201-7000
Fax Number :
Provider Business Practice Location Address
First Line : 1601 NE SUCCESS DR
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5345
Country : US
Telephone Number : 804-201-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2017
Last Update Date : 12/09/2025

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