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Contact Information

STACEY BUSHELL, APRN
1580 W ANTELOPE DR
SUITE 100
LAYTON, UT84041-1160
 Phone: 801-773-8644
 Fax: 801-927-1591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STACEY BUSHELL · (Female)

NPI # 1740305150
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 03/21/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 195616-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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