Provider Demographics
NPI:1851634695
Name:POSHUSTA, NAYSA LEIGH (DVM)
Entity Type:Individual
Prefix:DR
First Name:NAYSA
Middle Name:LEIGH
Last Name:POSHUSTA
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11710 BUSINESS BLVD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7724
Mailing Address - Country:US
Mailing Address - Phone:907-694-3800
Mailing Address - Fax:
Practice Address - Street 1:11710 BUSINESS BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7724
Practice Address - Country:US
Practice Address - Phone:907-694-3800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKVET V 681174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKVET V 681OtherAK VETERINARY LICENSE NUMBER