MEDICARE: MRS. CLAUDIA LOUISE BUSCHMEYER 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	163WX1100X	Ophthalmic Registered Nurse	075894	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	075894	OTHER	MO	STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1750507992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLAUDIA LOUISE BUSCHMEYER R.N.

Provider Business Mailing Address
First Line	:	33 N ELIZABETH AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63135-2449
Country	:	US
Telephone Number	:	314-522-3735
Fax Number	:

Provider Business Practice Location Address
First Line	:	7220 WATSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-4404
Country	:	US
Telephone Number	:	314-352-5500
Fax Number	:

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

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	07/08/2007

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