Provider Demographics
NPI:1356493696
Name:BUSSE, ANGELA S (NP)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:S
Last Name:BUSSE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:400 BROADACRES DRIVE
Mailing Address - Street 2:STE 445
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-6035
Mailing Address - Country:US
Mailing Address - Phone:973-661-8300
Mailing Address - Fax:736-618-3339
Practice Address - Street 1:5000 E ARAPAHOE ROAD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2302
Practice Address - Country:US
Practice Address - Phone:973-661-8300
Practice Address - Fax:973-661-8333
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2024-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CORXP-4037363LA2200X
COAPN.0003636-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO69803749Medicaid
COCO300647Medicare PIN