Individual
SHELLY J BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
620 NORTHWESTERN DR, STORM LAKE, IA 50588-2935
(712) 732-5030
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3909
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A072508
IA
Other
Enumeration date
01/31/2006
Last updated
06/26/2013
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