MICHELE BUSTARD (NPI# 1720591902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720591902 |
| Entity Type | Individual |
| Full Name | MICHELE BUSTARD |
| Credential | APN |
| Practice Address |
238 E Broadway Salem NJ 08079-1108 |
| Mailing Address |
1 N White Horse Pike Hammonton NJ 08037-1875 |
| Practice Telephone | 8569357711 |
| Practice Fax Number | 8569359123 |
| Mailing Telephone | 6095670200 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00770500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
238 E BROADWAY |
| City | SALEM |
| State | NJ |
| Zip Code | 08079-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848288 | Emilia N Iwu | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2005-08-11 |
| 1609488337 | Lisa Ann Hermansky | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2020-08-24 |
| 1972908838 | Korinne Foster | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2014-11-04 |
| 1447548052 | Shuang Wang | Internal Medicine | 238 E Broadway, Salem, NJ 08079-1108 | 2011-07-17 |
| 1356673743 | Diana Patricia Cunningham | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2010-02-10 |
| 1689805418 | Omowunmi Praise Akinruli | Family Medicine | 238 E Broadway, Salem, NJ 08079-1108 | 2009-07-28 |
| 1275711145 | Dottie Dean Dyer | Dentist | 238 E Broadway, Salem, NJ 08079-1108 | 2008-02-04 |
| 1104940493 | Southern Jersey Family Medical Centers, Inc. | Clinic/Center | 238 E Broadway, Salem, NJ 08079-1108 | 2007-03-19 |
| 1053409730 | Dolores Turse | Nurse Practitioner | 238 E Broadway, Salem, NJ 08079-1108 | 2006-10-10 |
| 1609976240 | Sharon G Simpkins | Dentist | 238 E Broadway, Salem, NJ 08079-1108 | 2006-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1750750071 | The Arc of Salem County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Salem Woodstown Rd, Salem, NJ 08079 | 2015-09-16 |
| 1730347964 | Josephine M Santiago | Registered Nurse | 310 Woodstown Rd., Salem, NJ 08079 | 2008-05-23 |
| 1033394895 | Samia Fatima Mian | Internal Medicine | 5 Route 45 Ste 101, Mannington, NJ 08079 | 2007-12-28 |
| 1619165891 | Fouad K. Michail | Ophthalmology | 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 | 2007-10-12 |
| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1346378213 | Cooper Pediatrics | Pediatrics | 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 | 2007-03-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| Find all providers in zip 08079 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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| 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.