| Mariela Petrova Busheva, NP-C | |
|
16415 Northcross Dr Ste B, Huntersville, NC 28078-5001 | |
| (704) 775-6029 | |
| (704) 413-3198 |
| Full Name | Mariela Petrova Busheva |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 16415 Northcross Dr Ste B, Huntersville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407353253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 262137 (North Carolina) | Primary |
| Entity Name | Caromont Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariela Petrova Busheva, NP-C 16415 Northcross Dr Ste B, Huntersville, NC 28078-5001 Ph: (704) 775-6029 | Mariela Petrova Busheva, NP-C 16415 Northcross Dr Ste B, Huntersville, NC 28078-5001 Ph: (704) 775-6029 |
Mrs. Jessica Lauren Hagley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9121 Sam Furr Rd Ste 108, Huntersville, NC 28078 Phone: 704-324-3590 Fax: 704-324-3591 | |
Kelsey Elaine Wilkes, DNP FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9800 Kincey Ave Ste 150, Huntersville, NC 28078 Phone: 704-799-4909 Fax: 704-799-7695 | |
Jennifer Lynn Thomas, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16455 Statesville Rd, Ste 360, Huntersville, NC 28078 Phone: 704-801-3300 | |
Dr. Brianna Nicole Licari, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13620 Reese Blvd E Ste 100, Huntersville, NC 28078 Phone: 704-801-7330 | |
George Murphy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15712 Gallant Ridge Pl, Huntersville, NC 28078 Phone: 210-355-9190 | |
Mr. John Steven Ellis Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13835 Boren St, Huntersville, NC 28078 Phone: 704-912-2222 | |
Hannah Lane Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16455 Statesville Rd Ste 200, Huntersville, NC 28078 Phone: 704-801-3011 |