Individual
STEPHEN BUSCEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7397
Mailing address
4854 25TH AVE NE, RIO RANCHO, NM 87144-0581
(520) 429-2293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02844
NM
Other
Enumeration date
11/17/2015
Last updated
03/24/2016
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