Individual
MISS LISA K BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
1353 PASEO DEL PUEBLO SUR STE D, TAOS, NM 87571-5958
(575) 613-8090
(575) 613-8091
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
(512) 628-0468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01307
NM
Other
Enumeration date
08/02/2005
Last updated
02/15/2023
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