National Provider Identifier
Wanda Jean Rust, LPN
Wanda Jean Rust, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 563-7712.
Source: public NPPES record, last updated January 12, 2009. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1669619771
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 12, 2009
- Last Updated
- January 12, 2009
Practice Location
- 15 Lyeelwood Pkwy Apt B
- Rochester, NY 14606
Phone: (585) 563-7712
Mailing Address
- 15 Lyellwood Pkwy Apt B
- Rochester, NY 14606-4525
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Wanda Jean Rust was a New York licensed practical nurse. The strongest public professional record located is a New York State Education Department enforcement action stating that her LPN license was revoked in 2014 following a professional misconduct finding.
Full Record
- NPI
- 1669619771
- Entity Type
- Individual
- Last Name
- Rust
- First Name
- Wanda
- Middle Name
- Jean
- Credential
- LPN
- Mailing Street Address
- 15 Lyellwood Pkwy Apt B
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-4525
- Mailing Country
- US
- Mailing Phone
- (585) 563-7712
- Practice Street Address
- 15 Lyeelwood Pkwy Apt B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606
- Practice Country
- US
- Practice Phone
- (585) 563-7712
- Enumeration Date
- January 12, 2009
- Last Updated
- January 12, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Licensed Practical Nurse (164W00000X)