Healthcare Provider Details

I. General information

NPI: 1790680825
Provider Name (Legal Business Name): CAMELA BUSCH APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7246 FOREST HILL AVE
RICHMOND VA
23225-1524
US

IV. Provider business mailing address

310 CALLEY ST
ASHLAND VA
23005-1248
US

V. Phone/Fax

Practice location:
  • Phone: 407-285-6288
  • Fax:
Mailing address:
  • Phone: 407-285-6288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024198743
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: