Provider Demographics
NPI:1932677796
Name:RUSHER, RAND ALAN (RN)
Entity Type:Individual
Prefix:
First Name:RAND
Middle Name:ALAN
Last Name:RUSHER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9735 WILSHIRE BLVD PH
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-2104
Mailing Address - Country:US
Mailing Address - Phone:310-275-7263
Mailing Address - Fax:
Practice Address - Street 1:9735 WILSHIRE BLVD PH
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2104
Practice Address - Country:US
Practice Address - Phone:310-275-7263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455115163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery