Individual
MRS. THERESA ANN BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2002 E CONCORDA DR, TEMPE, AZ 85282-2999
(480) 967-8933
(480) 929-9695
Mailing address
3802 S HEATHER DR, TEMPE, AZ 85282-5853
(480) 491-0174
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN039498
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571530
—
AZ
Enumeration date
04/10/2007
Last updated
09/07/2007
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