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NPI Code Detail

MEDICARE: MELISSA RUSK CRNP

MEDICARE: MELISSA RUSK CRNP
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
1363L00000XNurse PractitionerSP022779PA

General Provider Information

NPI Number : 1932792728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA RUSK CRNP
Provider Business Mailing Address
First Line : 77 S COMMERCE WAY
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-8891
Country : US
Telephone Number : 484-526-4999
Fax Number :
Provider Business Practice Location Address
First Line : 1581 N 9TH ST
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-7531
Country : US
Telephone Number : 272-212-4490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 06/08/2026

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