Healthcare Provider Details

I. General information

NPI: 1811368426
Provider Name (Legal Business Name): MICHELLE Y BUESCHER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. MICHELLE Y MORRISSEAU

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PIKES HILL WESTERN MAINE FAMILY PRACTICE
NORWAY ME
04268
US

IV. Provider business mailing address

8 PIKES HILL WESTERN MAINE FAMILY MEDICINE
NORWAY ME
04268
US

V. Phone/Fax

Practice location:
  • Phone: 207-743-9292
  • Fax:
Mailing address:
  • Phone: 207-743-9292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP151068
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: