Individual
MS. TRUDY MARIA BUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, CNP, NP-C
Contact information
Practice address
426 E JACKSON ST, MACOMB, IL 61455-3164
(319) 631-4189
Mailing address
426 E JACKSON ST, MACOMB, IL 61455-3164
(319) 631-4189
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.009484
IL
Other
Enumeration date
11/03/2011
Last updated
01/27/2015
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