Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | SP015785 | PA |
NPI | 1033575287 |
---|---|
Provider Name | Patricia Bussinger |
First Address | Ambler, PA 19002-5043 |
Second Address | Abington, PA 19001-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2016 |
Last Update Date | 04/01/2016 |