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Contact Information

KRISTEN M BUSHNELL, PA-C
PMG AT 8300 CONSTITUTION - GENERAL SURGERY
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM87110
 Phone: 505-291-5330
 Fax: 505-291-2949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KRISTEN M BUSHNELL · (Female)

NPI # 1982818860
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/09/2007
Last updated 06/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2004-0045
Hospital affiliation(s)
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
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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