MEDICARE: ALEESA BUSCIGLIO 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	R190712	MD

General Provider Information

NPI Number	:	1780448498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEESA BUSCIGLIO FNP

Provider Business Mailing Address
First Line	:	2010 BASIL HALL CT
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-2157
Country	:	US
Telephone Number	:	443-878-8971
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 BASIL HALL CT
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-2157
Country	:	US
Telephone Number	:	443-878-8971
Fax Number	:

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

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	01/08/2026

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Directions to “ ALEESA BUSCIGLIO FNP” Practice Location

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