Sara R Busch, AGNP-C Valid NPI
Individual provider · Nurse Practitioner · O Fallon, MO
- NPI
- 1669007100
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- 2018042341 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-03-05
- Last updated
- 2023-08-02
Practice location
20 Progress Point Pkwy Ste 206
O Fallon, MO 63368-2207
(636) 344-1073