Provider Demographics
NPI:1104717578
Name:MARRUFFO, DUSTIN Q (RN, WCN-C, CSWD-C)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:Q
Last Name:MARRUFFO
Suffix:
Gender:M
Credentials:RN, WCN-C, CSWD-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W SLAUGHTER LN APT 618
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1698
Mailing Address - Country:US
Mailing Address - Phone:817-501-8613
Mailing Address - Fax:
Practice Address - Street 1:420 W SLAUGHTER LN APT 618
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1698
Practice Address - Country:US
Practice Address - Phone:817-501-8613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1009375163W00000X, 163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
No163W00000XNursing Service ProvidersRegistered Nurse