Husemann, Dustin Richard
Husemann, Dustin Richard is an sole proprietor health care provider with primary practice located at 914 N San Francisco St Ste D , Flagstaff AZ 86001-3254. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Husemann, Dustin Richard can be contacted via phone (928) 985-1495.Contact Information
Primary practice address
914 N San Francisco St Ste D
Flagstaff AZ 86001-3254
Phone: (928) 985-1495
Fax: (928) 597-5198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP11403 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209022157 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP11403 | Arizona |
Profile Details
| NPI number | 1548756794 |
|---|---|
| LBN Legal business name | Husemann, Dustin Richard |
| Credentials | ACNP-BC, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2018 |
| Last updated | Apr 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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