KRISTEN MARRON BUSHNELL PA-C NPI 1982818860

NPI Information

NPI: 1982818860
Provider Name: KRISTEN MARRON BUSHNELL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: DUKE CITY URGENT CARE

PECOS Registration: Yes

Address:
PMG AT 8300 CONSTITUTION - GENERAL SURGERY
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 291-5330
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Kristen Marron Bushnell, PA-C is a surgical physician assistant in Albuquerque, NM with 20 years of experience. Kristen Marron Bushnell, PA-C NPI is 1982818860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PMG AT 8300 CONSTITUTION - GENERAL SURGERY
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 291-5330
Fax: (505) 291-2949

The NPI 1982818860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 6/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA2004-0045	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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