Individual
MS. NICHOLE L BUSSNAMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1605 SE DELAWARE AVE, SUITE F, ANKENY, IA 50021-4594
(515) 964-5555
(515) 964-5505
Mailing address
1605 SE DELAWARE AVE, SUITE F, ANKENY, IA 50021-4594
(515) 964-5555
(515) 964-5505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001161
IA
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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