KRISTEN MARRON BUSHNELL


Address: Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110
Phone: 5052915330

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address PMG AT 8300 CONSTITUTION - GENERAL SURGERY
8300 CONSTITUTION AVE NE
City ALBUQUERQUE
State NM
Zip Code 87110

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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