Individual
CRYSTAL LYNN BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2720 PLAZA DR STE 1100, WAUSAU, WI 54401-4169
(715) 847-2472
Mailing address
184188 LITTLE WOLF RD, WITTENBERG, WI 54499-6052
(715) 573-5804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14163-33
WI
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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