Angela Rae Lusco, R.N., B.S.N.
Individual provider Active NPI Home Health Registered Nurse · John Day, OR
NPI 1114286325 · NPPES record last updated May 31, 2012
Key facts
- NPI
- 1114286325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 09000577RN (OR)
- Practice address
- 725 W Main St
John Day, OR 97845-1299 - Phone
- (541) 620-2150
- Fax
- (541) 575-2910
- NPI assigned
- May 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09000577RN | OR | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 09000577RN | OR | Yes |
Addresses
Primary practice location
725 W Main St
John Day, OR 97845-1299
Mailing address
26331 Laycock Creek Rd
Mount Vernon, OR 97865-6197
Phone (541) 620-2150
Other providers in John Day, OR
- James Arthur Klusmier
- Lens Clinical Services
- Colleen Therese Lindley
- Lindsay P. Madden, FNP PC
- Deborah Lizotte
- Caitlin R Maccoun
- Jessica Lee Madden
- Linda Maldonado
- Kaona R Martell
- Dawn Marten
All providers in John Day, OR · Home Health Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.