Individual
SARA R BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
20 PROGRESS POINT PKWY STE 206, O FALLON, MO 63368-2207
(636) 344-1073
Mailing address
20 PROGRESS POINT PKWY STE 206, O FALLON, MO 63368-2207
(636) 344-1073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018042341
MO
363LA2200X
Adult Health Nurse Practitioner
2018042341
MO
Other
Enumeration date
03/05/2020
Last updated
08/02/2023
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