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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN ROBERT CUSICK, CRNA

Active Sole Proprietor

JUSTIN ROBERT CUSICK, CRNA is a Registered Nurse healthcare provider located in COON RAPIDS, Minnesota. NPI 1043561004 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · COON RAPIDS, MN

Registration Details

NPI Number
1043561004
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2012 (13.892107159315 yrs)
Last Updated
Sep 30, 2012
Licenses
R160593-8 (MN)
091716 (MN)
Sole Proprietor
Yes

Practice Information

Address
8990 SPRINGBROOK DR NW STE 250
COON RAPIDS, MN, 554335884
Browse MN providers · Browse ZIP 55433
Phone
7633981176
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in COON RAPIDS, MN

Name Credential NPI
KITTY C. SKOOG 1497773329
MRS. LAURIE J. FISK FNP-C 1881613024
PAUL L. AUBART RN 1558383539
KATHLEEN M MCKAY 1033133731
MRS. NANCY LYNNE RICK RN, BA 1124325196
JONATHAN A WYMER REGISTERED NURSE 1811287444
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.