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NPI Code Detail

MEDICARE: SHAYLA BUSSEY

MEDICARE:   SHAYLA  BUSSEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner11035348FL

General Provider Information

NPI Number : 1851107056
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYLA BUSSEY
Provider Business Mailing Address
First Line : 302 W FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3415
Country : US
Telephone Number : 813-397-5300
Fax Number :
Provider Business Practice Location Address
First Line : 302 W FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-3415
Country : US
Telephone Number : 813-397-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2024
Last Update Date : 03/16/2026

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Directions to “ SHAYLA BUSSEY ” Practice Location

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