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NPI Code Detail

MEDICARE: MRS. CARIE GERTRUDE BUSSEY CNM ARNP

MEDICARE: MRS. CARIE GERTRUDE BUSSEY CNM ARNP
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
1367A00000XAdvanced Practice MidwifeAP30007469WA

General Provider Information

NPI Number : 1952486318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARIE GERTRUDE BUSSEY CNM ARNP
Provider Business Mailing Address
First Line : 2805 ORANGE ST SE
Second Line :
City : OLYMPIA
State : WA
Zip : 98501
Country : US
Telephone Number : 360-786-9456
Fax Number :
Provider Business Practice Location Address
First Line : 615 LILLY RD NE STE 200
Second Line :
City : OLYMPIA
State : WA
Zip : 98506-5137
Country : US
Telephone Number : 360-413-8749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 11/16/2022

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Directions to “ MRS. CARIE GERTRUDE BUSSEY CNM ARNP” Practice Location

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