Individual
DEBRA DARLENE BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
(907) 352-3373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
811
AK
363LF0000X
Family Nurse Practitioner
Primary
811
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0811
—
AK
Enumeration date
08/01/2006
Last updated
11/05/2024
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