| Doctor Name: | JAMES ANDREW RUSNAK |
| NPI Number: | 1578854121 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | COA 12020 |
| Business Practice Address: | 27100 Chardon Rd 3rd Floor Psych Unit Richmond Hts, OH - 441431116 |
| Business Phone Number: | 2163830667 |
| Business Fax Number: | |
| Mailing Address: | Po Box 8792, BELFAST |
| State: | ME |
| Postal Code: | 049158792 |
| Phone Number: | 2163830667 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2011 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | COA 12020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |