KRISTEN MARRON BUSHNELL (NPI# 1982818860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982818860 |
Entity Type | Individual |
Full Name | KRISTEN MARRON BUSHNELL |
Credential | PA-C |
Practice Address |
Pmg At 8300 Constitution - General Surgery 8300 Constitution Ave Ne Albuquerque NM 87110 |
Mailing Address |
5400 Gibson Blvd Se Albuquerque NM 87108-4729 |
Practice Telephone | 5052915330 |
Practice Fax Number | 5052912949 |
Mailing Telephone | 5052627960 |
Mailing Fax Number | 5052321368 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2015-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2004-0045 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
PMG AT 8300 CONSTITUTION - GENERAL SURGERY 8300 CONSTITUTION AVE NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
1861444143 | Beverly Heck Bierbach | Physician Assistant | Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 | 2006-05-16 |
1881654218 | Paul Lee Armstrong | Physician Assistant | 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 | 2006-03-28 |
1477535698 | Daryl Edson Smith | Physician Assistant | 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 | 2005-11-15 |
1366431355 | Michelle M Ruthmann | Physician Assistant | 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 | 2005-10-21 |
1902800717 | Ralph T Zych | Physician Assistant | 6801 Jefferson St Ne, Suite 350, Albuquerque, NM 87109-4379 | 2005-06-09 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on KRISTEN MARRON BUSHNELL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.