Individual
KATHY MARIE COOK BUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
600 E SUPERIOR ST STE 502, DULUTH, MN 55802-2200
(218) 327-2001
(218) 327-0456
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 373-2384
(507) 284-0702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3952
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R152649-9
MN
Other
Enumeration date
07/29/2015
Last updated
11/19/2025
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