Individual
MELANIE BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
717 N 190TH PLZ, STE. 1100, ELKHORN, NE 68022-3913
(402) 815-1700
(402) 815-1959
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111407
NE
363LW0102X
Women's Health Nurse Practitioner
111407
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026301600
—
NE
05
—
10026480100
—
NE
05
—
1689830440
—
IA
05
—
47068731799
—
NE
Enumeration date
08/21/2012
Last updated
09/04/2015
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