Individual
KSENIA BUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5298
(804) 289-4500
Mailing address
2450 OLD BRICK RD APT 1433, GLEN ALLEN, VA 23060-6000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024195918
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2023
Last updated
02/20/2026
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