Provider Demographics
NPI:1184867384
Name:RUSCINGNO, BARBARA (APN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:RUSCINGNO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8084 W SAHARA AVE
Mailing Address - Street 2:STE B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1977
Mailing Address - Country:US
Mailing Address - Phone:702-257-7246
Mailing Address - Fax:702-586-2071
Practice Address - Street 1:3201 S. MARYLAND PKWY
Practice Address - Street 2:STE 314
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109
Practice Address - Country:US
Practice Address - Phone:702-796-8500
Practice Address - Fax:702-796-8502
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001117363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner