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Individual

ALEXANDER ROBERT-CHARLES BUSKILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1490 PARK AVE NW STE 4B, NORTON, VA 24273-1631
(276) 439-1385
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024183305
VA
363L00000X
Nurse Practitioner
Primary
111616
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024183305
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
111616
WV

Other

Enumeration date
12/27/2021
Last updated
02/26/2024
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