Miss Lisa K Bushnell
Allergist & Immunologist Nurse Practitioner - Family Medicine
1353 Paseo Del Pueblo Sur Ste D
Taos
, New Mexico 87571-5958
Miss Lisa K Bushnell
Allergist & Immunologist Nurse Practitioner - Family Medicine
1353 Paseo Del Pueblo Sur Ste D
Taos
, New Mexico 87571-5958
(512) 628-0468
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About
Features
Specialties
- Allergist & Immunologist
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Miss Lisa K Bushnell
- 6601 Vaught Ranch Rd Ste 200
- Austin, TX
- Zip : 78730-2309
- Fax : (512) 628-0468
- Phone : (512) 628-0465
Second Address
- Miss Lisa K Bushnell
- 1353 Paseo Del Pueblo Sur Ste D
- Taos, NM
- Zip : 87571-5958
- Fax : (575) 613-8091
- Phone : (575) 613-8090
Reviews
FAQs
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Where is Miss Lisa K Bushnell ’s practice located?
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Is Miss Lisa K Bushnell a sole practitioner?
Is Miss Lisa K Bushnell accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | R54485 | NM |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | CNP01307 | NM |
National Provider Identifier
| NPI | 1174524912 |
|---|---|
| Provider Name | Miss Lisa K Bushnell |
| First Address | Austin, TX 78730-2309 |
| Second Address | Taos, NM 87571-5958 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 06/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00051474 | (05) | NM |
| 00NM006H13 | BLUE MEDICARE (01) | NM |
| 10021342 | CIGNA / LOVELACE (01) | |
| 202024643 | PRESBYTERIAN (01) | |
| 5670349 | (05) | NM |
| 7722751 | AETNA (01) | |
| NM006H13 | BLUE CROSS & BLUE SHIELD (01) | |
| QMP000003404562 | MOLINA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.