Individual
MAIREAD HARRINGTON BUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11958 W BROAD ST, HENRICO, VA 23233-1007
(804) 360-4669
(804) 364-6521
Mailing address
9625 GONEWAY DR, HENRICO, VA 23238-2901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185109
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024185109
VIRGINIA BOARD OF NURSING LICENSE NURSE PRACTITIONER
VA
Enumeration date
09/07/2022
Last updated
07/31/2023
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