MS. TRUDY MARIA BUSTER


Address: 426 E Jackson St, Macomb, IL 61455-3164
Phone: 3196314189

MS. TRUDY MARIA BUSTER (NPI# 1871870998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871870998
Entity Type Individual
Full Name MS. TRUDY MARIA BUSTER
Credential MSN, APN, CNP, NP-C
Practice Address 426 E Jackson St
Macomb
IL 61455-3164
Practice Telephone 3196314189
Mailing Telephone 3196314189
Enumeration Date 2011-11-03
Last Update Date 2015-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
209.009484 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 426 E JACKSON ST
City MACOMB
State IL
Zip Code 61455-3164

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1972020360 Kara Marie Wright Speech-Language Pathologist 315 N. Bonham St., Macomb, IL 61455 2017-08-25
1720356504 Dawn M. Kedzior Social Worker 103 South Johnson Street, Macomb, IL 61455 2011-12-07
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1952538704 Mary L. Smith Developmental Therapist 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 2009-06-19
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1245488345 Sonja E Schmidt Social Worker 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 2008-09-03
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1881023729 Antonella Hart Nurse Practitioner 55349 Fallbrooke Dr, Macomb, MI 48042-1853 2013-11-01

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NPI Name Taxonomy Address Enumeration
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1861021248 Elizabeth Horan Nurse Practitioner 125 S Green St Apt 1005a, Chicago, IL 60607-3717 2020-04-07
1699315697 Kelsey L Proehl Nurse Practitioner 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 2020-01-08
1992343248 Maryanne M Smith Nurse Practitioner 805 W Deyoung St Ste D, Marion, IL 62959-1602 2019-12-17
1730724451 Suzana None Nikitovic Nurse Practitioner 2815 Regner Rd, Mchenry, IL 60051-6942 2019-11-18
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Competitor

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City MACOMB
Zip Code 61455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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