Individual
SHARESEA BUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 N 26TH ST, SHEBOYGAN, WI 53081-3111
(920) 453-3900
Mailing address
1221 N 26TH ST, SHEBOYGAN, WI 53081-3111
(920) 453-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8551-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084374
—
WI
Enumeration date
12/27/2018
Last updated
03/16/2023
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