Individual
NICOLE MARIE BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
912 MAIN ST, LITTLEFORK, MN 56653-9357
(218) 278-6634
(218) 278-6637
Mailing address
912 MAIN ST, LITTLEFORK, MN 56653-9357
(218) 278-6634
(218) 278-6637
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 2635
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNP 2635
APRN LICENSE NUMBER
MN
01
—
R143402-8
MINNESOTA RN LICENSE NUMBER
MN
Enumeration date
06/26/2013
Last updated
10/06/2015
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