Individual
KRISTIN LYNN BUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRNP-PMH
Contact information
Practice address
1001 SHORE VIEW CIR, CROWNSVILLE, MD 21032-1250
(240) 988-6407
Mailing address
7310 RITCHIE HWY, SUITE 512, GLEN BURNIE, MD 21061-3065
(410) 761-7042
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R086841
MD
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
R086841
MD
Other
Enumeration date
08/16/2007
Last updated
04/27/2009
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