Individual provider · Type 1 NPI

Kristen Marron Bushnell, PA-C

Surgical Physician Assistant · Albuquerque, NM

NPI number 1982818860 Active

Practice location

Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave NE
Albuquerque, NM 87110

Call (505) 291-5330 Map

Fax (505) 291-2949

Mailing address

5400 Gibson Blvd SE
Albuquerque, NM 87108-4729

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2004-0045 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1982818860

Kristen Marron Bushnell, PA-C's National Provider Identifier is 1982818860, issued on May 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 26, 2015.