Provider Demographics
NPI:1609647890
Name:BUSCHUR, ANGELA DIANE (RN BSN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DIANE
Last Name:BUSCHUR
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 STATE ROUTE 28 STE C
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-5046
Mailing Address - Country:US
Mailing Address - Phone:513-214-2094
Mailing Address - Fax:513-214-2095
Practice Address - Street 1:749 STATE ROUTE 28 STE C
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-5046
Practice Address - Country:US
Practice Address - Phone:513-214-2094
Practice Address - Fax:513-214-2094
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN297193163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse