NPI Code Details Logo

NPI 1982556171

NPI 1982556171 : RACHEL MARIE TRUSSELL : RAMSEY, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1982556171
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RACHEL MARIE TRUSSELL
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/11/2026
-----------------------------------------------------
    Last Update Date     |    02/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7545 VETERANS DR 
-----------------------------------------------------
    City                 |    RAMSEY
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55303-7500
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    763-422-7657
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    10992 SHORELINE CT 
-----------------------------------------------------
    City                 |    CHISAGO CITY
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55013-8406
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    763-657-9352
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    164W00000X
-----------------------------------------------------
    Taxonomy Name        |    Licensed Practical Nurse
-----------------------------------------------------
    License Number       |    789826
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.