Healthcare Provider Details

I. General information

NPI: 1093383077
Provider Name (Legal Business Name): SHARON ELIZABETH BUESING APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON ELIZABETH LANPHEAR APRN/FNP

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 GOLF COURSE RD STE 204
GRAND RAPIDS MN
55744-3537
US

IV. Provider business mailing address

400 E 3RD ST
DULUTH MN
55805-1951
US

V. Phone/Fax

Practice location:
  • Phone: 218-999-7000
  • Fax:
Mailing address:
  • Phone: 218-786-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8245
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: