Individual provider · Type 1 NPI
Fernando Juan Busby, PA
Medical Physician Assistant · Garden City, ID
NPI number
1649152992
Active
Practice location
Auspex Diamond Llc St # 2079, 9169 W State
Garden City, ID 83714
Mailing address
Auspex Diamond Llc, 9169 W State St # 2079
Garden City,, ID 83714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1649152992
Fernando Juan Busby, PA's National Provider Identifier is 1649152992, issued on Jul 25, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Garden City, ID. The record was last updated on Sep 30, 2025.