Individual
DUSTIN RICHARD HUSEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC, PMHNP-BC
Contact information
Practice address
914 N SAN FRANCISCO ST STE D, FLAGSTAFF, AZ 86001-3254
(928) 985-1495
(928) 597-5198
Mailing address
3159 10TH AVE N, ST PETERSBURG, FL 33713-6627
(503) 866-3772
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP11403
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209022157
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP11403
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11026081
FL
Other
Enumeration date
07/10/2018
Last updated
01/15/2026
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