Healthcare Provider Details

I. General information

NPI: 1003953175
Provider Name (Legal Business Name): ERIN D RUSINEK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 11/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 LAKE BOONE TRL SUITE 200
RALEIGH NC
27607-7505
US

IV. Provider business mailing address

4420 LAKE BOONE TRL SUITE 200
RALEIGH NC
27607-7505
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-6818
  • Fax: 919-784-6826
Mailing address:
  • Phone: 919-784-6818
  • Fax: 919-784-6826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number001000696
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: