Provider Demographics
NPI:1740583814
Name:BUSSCHER, LINDSEY
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:BUSSCHER
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 1:2696 HERON CT
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33956-2169
Mailing Address - Country:US
Mailing Address - Phone:239-283-9364
Mailing Address - Fax:
Practice Address - Street 1:2696 HERON CT
Practice Address - Street 2:
Practice Address - City:SAINT JAMES CITY
Practice Address - State:FL
Practice Address - Zip Code:33956-2169
Practice Address - Country:US
Practice Address - Phone:239-283-9364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9279672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse