Mairead Harrington Busic
Nurse Practitioner, Family in Henrico, VA. Individual provider (NPI-1).
NPI number1740901909
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1740901909
- Entity type
- Individual (NPI-1)
- Name
- Mairead Harrington Busic
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2022
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024185109 | VA | Yes |
Practice location
11958 W Broad StHenrico, VA 23233-1007
Phone 804-360-4669 · Fax 804-364-6521
Mailing address
9625 Goneway DrHenrico, VA 23238-2901
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