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NPI Code Detail

MEDICARE: MARY KATHERINE BUSCH

MEDICARE: MARY KATHERINE BUSCH
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
1363L00000XNurse Practitioner291060AZ

General Provider Information

NPI Number : 1821787300
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KATHERINE BUSCH
Provider Business Mailing Address
First Line : 4801 E BROADWAY BLVD STE 251
Second Line :
City : TUCSON
State : AZ
Zip : 85711-3633
Country : US
Telephone Number : 520-327-0460
Fax Number : 520-795-0225
Provider Business Practice Location Address
First Line : 2055 W HOSPITAL DR STE 255
Second Line :
City : TUCSON
State : AZ
Zip : 85704-7857
Country : US
Telephone Number : 520-547-5725
Fax Number : 520-547-5735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 06/24/2026

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Directions to “ MARY KATHERINE BUSCH ” Practice Location

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