Provider Demographics
NPI:1023723848
Name:BUSANO, TROISHA (MPH, CPH)
Entity type:Individual
Prefix:
First Name:TROISHA
Middle Name:
Last Name:BUSANO
Suffix:
Gender:F
Credentials:MPH, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 3 BOX 4945
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96266-0050
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:51 OP MED READINESS SQ
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:APO
Practice Address - Zip Code:96266
Practice Address - Country:KP
Practice Address - Phone:317-784-3020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach