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Individual

ANGELA PRICE BUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1616 W MAIN ST, SUITE 508, MARION, IL 62959-1146
(618) 499-0562
(618) 997-1122
Mailing address
2 GOOD SAMARITAN WAY STE 205, MOUNT VERNON, IL 62864-2476
(618) 899-3869
(618) 899-3558

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
156892
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
209009326
IL

Other

Enumeration date
12/23/2009
Last updated
06/01/2021
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