MEDICARE: RUTH E BUSCH ARNP

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	363L00000X	Nurse Practitioner	44510	KS
2	363LF0000X	Family Nurse Practitioner	74547	KS
3	207RR0500X	Rheumatology Physician	44510	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134124084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH E BUSCH ARNP

Provider Business Mailing Address
First Line	:	1921 N WEBB RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-3405
Country	:	US
Telephone Number	:	316-612-4815
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 N WEBB RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-3405
Country	:	US
Telephone Number	:	316-612-6815
Fax Number	:	316-612-4825

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/28/2020

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Directions to “ RUTH E BUSCH ARNP” Practice Location

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