Individual provider · Type 1 NPI
Tara Ann Bussett, CRNP
Obstetrics & Gynecology Nurse Practitioner · Havertown, PA
NPI number
1023008158
Active
Practice location
2010 W Chester Pike Ste 350
Havertown, PA 19083-2738
Fax (610) 446-1425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | UP006453G (PA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1023008158
Tara Ann Bussett, CRNP's National Provider Identifier is 1023008158, issued on Oct 28, 2005. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Havertown, PA. The record was last updated on Jul 30, 2021.