Individual
MRS. FAYE M BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(513) 498-3957
Mailing address
18 WOODLAWN AVE, FT MITCHELL, KY 41017-2724
(859) 907-0420
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3008386
KY
363LG0600X
Gerontology Nurse Practitioner
3008386
KY
Other
Enumeration date
12/13/2013
Last updated
09/29/2020
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