Stacey Bushell in Layton - Pediatrics

Stacey Bushell - NPI 1740305150

Stacey Bushell is a Pediatrics in Layton, Utah. Stacey Bushell practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacey Bushell is 1740305150. The last update date is 2007-07-08.

Stacey Bushell's current location address is 1580 W Antelope Dr, Layton, Utah. You can contact this provider via phone number 8017738644 and fax number 8019271591. The mailing address for Stacey Bushell is 1580 W Antelope Dr, Layton, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Bushell
Address 1580 W Antelope Dr, Layton, Utah
Phone Number 8017738644
Fax Number 8019271591
Sole Proprietor N
Credentials APRN

NPI Number Detail

NPI Number 1740305150
Provider Enumeration Date 2007-03-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1580 W Antelope Dr
City Layton
State Utah (UT)
Post Code 840411160
Phone Number 8017738644
Fax Number 8019271591

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 195616-4405
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

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FAQs about Stacey Bushell

What is the Stacey Bushell's unique identification number?

The Stacey Bushell has been assigned the NPI (National Provider Identifier) Number 1740305150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Stacey Bushell is physically located?

The Stacey Bushell is situated at the following address: 1580 W Antelope Dr, Layton, UT 840411160.

What is the Stacey Bushell's area of specialization and corresponding taxonomy classification?

The Stacey Bushell's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740305150 to Stacey Bushell?

The Centers for Medicare & Medicaid Services originally issued the 1740305150 to Stacey Bushell on 2007-03-21.

As of what date were the Stacey Bushell's details last updated?

The information pertaining to the Stacey Bushell, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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