NPI 1104383744

Brandon William Tushek

Practitioner Certified Registered Nurse Anesthetist Fayetteville, NC

Practice location

Address: 1638 Owen Dr, Fayetteville, NC 28304-3424
Phone: (910) 615-5132
Mailing address: 4429 Bridle Run Dr, Raleigh, NC 27606-7429

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 6464 (NC)

Other Nurse Anesthetist, Certified Registered providers in North Carolina →

Registry record

NPI: 1104383744
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2019
Record last updated: 28 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.