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Individual

PAMELA A BUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
221 E BLUFF ST, CASSVILLE, WI 53806
(608) 725-5091
Mailing address
PO BOX 308, 221 EAST BLUFF STREET, CASSVILLE, WI 53806-0308
(608) 725-5091

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
165186-030
WI
164W00000X
Licensed Practical Nurse
Primary
307841-031
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35066800
WI
01
6253727
MEDICAID PA NUMBER
WI
Enumeration date
09/12/2008
Last updated
09/12/2008
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