Individual
MRS. STACIE LYNN BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6312 S 167TH S. AVE, 6312 S. 167TH AVE, OMAHA, NE 68135
(402) 630-4644
Mailing address
2517 SOUTH 167TH AVENUE CIRCLE, OMAHA, NE 68130-1503
(402) 651-5927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62023
NE
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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