MEDICARE: MS. RENEE ANN BUSZTA R.N.

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
1	163WH0200X	Home Health Registered Nurse	RN-268629	OH

General Provider Information

NPI Number	:	1003981150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RENEE ANN BUSZTA R.N.

Provider Business Mailing Address
First Line	:	5910 HOLLYWOOD DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5223
Country	:	US
Telephone Number	:	440-884-2664
Fax Number	:

Provider Business Practice Location Address
First Line	:	5910 HOLLYWOOD DR
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44129-5223
Country	:	US
Telephone Number	:	440-884-2664
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/08/2007

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