Provider Demographics
NPI:1104417286
Name:RUSCH, RHONDA (APRN,FNP-BC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:RUSCH
Suffix:
Gender:
Credentials:APRN,FNP-BC
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:CASPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 895
Mailing Address - Street 2:
Mailing Address - City:FORT GIBSON
Mailing Address - State:OK
Mailing Address - Zip Code:74434-0895
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 S 38TH ST
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4937
Practice Address - Country:US
Practice Address - Phone:918-910-5965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-01
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP231616363LF0000X
NM76647363LF0000X
IAA177059363LF0000X
WY53371363LF0000X
NH092876-23363LF0000X
WI16019-33363LF0000X
OK207761363LF0000X
KS53-83682-111363LF0000X
ND201478363LF0000X
TX1028991363LF0000X
MI4704418726363LF0000X
AZ302453363LF0000X
COC-RXN.0101901-C-NP363LF0000X
DCNP500016680363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily