Individual
KRISTEN R BUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
1125 ANASTASIA AVE, CORAL GABLES, FL 33134-6337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176881
VA
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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