MRS. TARA ANN BUSSETT


Address: 919 Conestoga Rd, Rosemont, PA 19010-1352
Phone: 6105754200

MRS. TARA ANN BUSSETT (NPI# 1023008158) 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) 1023008158
Entity Type Individual
Full Name MRS. TARA ANN BUSSETT
Credential CRNP
Practice Address 919 Conestoga Rd
Rosemont
PA 19010-1352
Mailing Address 4018 School House Ln
Plymouth Meeting
PA 19462-1514
Practice Telephone 6105754200
Practice Fax Number 6105251801
Mailing Telephone 6108340846
Enumeration Date 2005-10-28
Last Update Date 2012-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
UP006453G PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 919 CONESTOGA RD
City ROSEMONT
State PA
Zip Code 19010-1352

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City ROSEMONT
Zip Code 19010

Improve Information

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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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