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NPI Code Detail

MEDICARE: STACY ANN BUSCHMANN-FORD RN, BSN, PHN

MEDICARE: STACY ANN BUSCHMANN-FORD RN, BSN, PHN
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
1163W00000XRegistered Nurse2437587MN

General Provider Information

NPI Number : 1952249054
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY ANN BUSCHMANN-FORD RN, BSN, PHN
Provider Business Mailing Address
First Line : 1 VETERANS DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-2309
Country : US
Telephone Number : 612-467-5042
Fax Number :
Provider Business Practice Location Address
First Line : 1 VETERANS DR
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55417-2309
Country : US
Telephone Number : 612-467-5042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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