DUSTIN RICHARD HUSEMANN

FLAGSTAFF, AZ
NPI1548756794
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  AP11403)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  AP11403)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209022157)
Enumeration Date2018-07-10
Last Update Date2024-04-22
Business Address
DUSTIN RICHARD HUSEMANN ACNP-BC, PMHNP-BC
914 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ 86001-3254
Phone number: 928-985-1495
Mailing Address
DUSTIN RICHARD HUSEMANN ACNP-BC, PMHNP-BC
3159 10TH AVE N
ST PETERSBURG, FL 33713-6627
Phone number: 503-866-3772