Individual
MRS. SHARDA NIRMALA BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 ARTHUR DR, THOMASVILLE, NC 27360-6275
(336) 475-2348
(336) 475-2100
Mailing address
200 ARTHUR DR, THOMASVILLE, NC 27360-6275
(336) 475-2348
(336) 475-2100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5001135
NC
363LP2300X
Primary Care Nurse Practitioner
005001135
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212660021
DME
NC
01
—
131753
MEDICAL LICENSE NUMBER
NC
05
—
7004791
—
NC
01
—
P00784396
RR MEDICARE
NC
Enumeration date
01/23/2006
Last updated
08/26/2015
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