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NPI Code Detail

MEDICARE: MRS. STACY LYNN KOLBUSCH NP-C

MEDICARE: MRS. STACY LYNN KOLBUSCH NP-C
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
1363LF0000XFamily Nurse Practitioner26NJ00461000NJ
2363L00000XNurse Practitioner26NJ00461000NJ

General Provider Information

NPI Number : 1598190985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACY LYNN KOLBUSCH NP-C
Provider Business Mailing Address
First Line : 36 WITHERSPOON CT
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-2734
Country : US
Telephone Number : 973-722-9489
Fax Number :
Provider Business Practice Location Address
First Line : 130 SPEEDWELL AVE
Second Line :
City : MORRIS PLAINS
State : NJ
Zip : 07950-2315
Country : US
Telephone Number : 862-242-8053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2013
Last Update Date : 03/27/2026

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