Dr. Keondra Martinique Rustan is a Lynnwood, Washington based nurse practitioner. Active license number of Dr. Keondra Martinique Rustan is ARNP.AP.70007587-NP for Psych/Mental Health in Washington. Her current practice location is 3116 164th St Sw Apt 1406, Lynnwood. Patients can reach her at 760-895-5514. Dr. Keondra Martinique Rustan is PMHNP-DNP, PH.D and her NPI number (Unique professional ID assigned by NPPES) is 1699495929. Dr. Keondra Martinique Rustan has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dr. Keondra Martinique Rustan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Keondra Martinique Rustan
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
PMHNP-DNP, PH.D
Practice Address:
3116 164th St Sw Apt 1406, Lynnwood, Washington, 98087-3250
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1699495929
NPI Enumeration Date:
29 Aug, 2022
NPI Last Update On:
01 Jul, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Keondra Martinique Rustan are as mentioned below.
License Number
Specialization
State
Status
ARNP.AP.70007587-NP
Psych/Mental Health
Washington
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Keondra Martinique Rustan 3116 164th St Sw Apt 1406, Lynnwood, Washington
Zip:
98087-3250
Phone Number:
760-895-5514
Patients can reach Dr. Keondra Martinique Rustan at 3116 164th St Sw Apt 1406, Lynnwood, Washington or can call to book an appointment on 760-895-5514.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.