Individual
STEPHANIE LYN BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
JCT. US HWY 160 & NAVAJO ROUTE 35 - RED MESA, FOUR CORNERS REGIONAL HEALTH CENTER, TEEC NOS POS, AZ 86514
(928) 656-5000
(928) 656-5164
Mailing address
BOX 30, FOUR CORNERS REGINAL HEALTH CENTER, HCR 6100, TEEC NOS POS, AZ 86514
(928) 656-5000
(928) 656-5164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
289195-3102
UT
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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