Individual
AMANDA BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 W 1ST ST, WALL LAKE, IA 51466-7726
(712) 664-2418
(949) 655-8648
Mailing address
1160 3RD ST, LAKE VIEW, IA 51450-7612
(712) 665-8555
(712) 464-4294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A130853
IA
363LP2300X
Primary Care Nurse Practitioner
A130853
IA
Other
Enumeration date
10/23/2017
Last updated
10/27/2025
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