Provider Demographics
NPI:1235991605
Name:BUERSMEYER, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:BUERSMEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5826 LAURELCREST GLN
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-3895
Mailing Address - Country:US
Mailing Address - Phone:561-252-3119
Mailing Address - Fax:
Practice Address - Street 1:5826 LAURELCREST GLN
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-3895
Practice Address - Country:US
Practice Address - Phone:561-252-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program