Individual
CHERYL L BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1805 S SR 57, WASHINGTON, IN 47501-4326
(812) 254-7845
(812) 254-5989
Mailing address
PO BOX 760, WASHINGTON, IN 47501-0760
(812) 254-7310
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001191A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390254
PMC- ANTHEM
IN
05
—
200535000
—
IN
Enumeration date
09/14/2005
Last updated
01/18/2021
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