Individual
CASEY L BUSMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
519 W MAIN ST UNIT B, STERLING, CO 80751-3059
(970) 425-3092
(970) 425-3413
Mailing address
519 W MAIN ST UNIT B, STERLING, CO 80751-3059
(970) 425-3092
(970) 425-3143
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0003392
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74108531
—
CO
Enumeration date
04/18/2012
Last updated
03/27/2025
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