Individual
SARA BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S 29TH ST, CHICKASHA, OK 73018-2501
(405) 816-8058
(855) 223-1999
Mailing address
304 S 29TH ST, CHICKASHA, OK 73018-2501
(405) 896-8058
(855) 223-1999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110831
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200727820A
—
OK
05
—
201245280A
—
KS
Enumeration date
03/01/2017
Last updated
05/10/2021
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