MEDICARE: MS. AMY M BUSCHUR FNP

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	15015-NP	OH

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	:	1265866362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY M BUSCHUR FNP

Provider Business Mailing Address
First Line	:	1299 E ALEX BELL RD
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2658
Country	:	US
Telephone Number	:	937-436-1117
Fax Number	:	937-436-9576

Provider Business Practice Location Address
First Line	:	1299 E ALEX BELL RD
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2658
Country	:	US
Telephone Number	:	937-436-1117
Fax Number	:	937-436-9576

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

Provider Enumeration Date	:	08/26/2013
Last Update Date	:	09/14/2022

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