Healthcare Provider Details

I. General information

NPI: 1689210221
Provider Name (Legal Business Name): ERNI RUSLIE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 MDG, UNIT 3215, RAMSTEIN AB
APO AE
09094
US

IV. Provider business mailing address

86 MDG, UNIT 3215, RAMSTEIN AB
APO AE
09094
US

V. Phone/Fax

Practice location:
  • Phone: 637-147-9250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995150-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: