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NPI Code Detail

MEDICARE: MS. KAREN JOAN BUSCH ANP

MEDICARE: MS. KAREN JOAN BUSCH ANP
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
1363LA2200XAdult Health Nurse Practitioner76AZ

General Provider Information

NPI Number : 1710095989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN JOAN BUSCH ANP
Provider Business Mailing Address
First Line : 3509 W MOUNTAIN DR
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-1059
Country : US
Telephone Number : 928-226-7365
Fax Number :
Provider Business Practice Location Address
First Line : 41 SAN FRANCISCI ST DOME ACCESS
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86011-0001
Country : US
Telephone Number : 928-523-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 07/08/2007

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Directions to “ MS. KAREN JOAN BUSCH ANP” Practice Location

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