Individual
MS. DELLA J. BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
(765) 485-8719
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34004769A
IN
363L00000X
Nurse Practitioner
71004078A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004078A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201093720
—
IN
Enumeration date
09/01/2006
Last updated
10/20/2023
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