Provider Demographics
NPI:1811155690
Name:BUSCH, PATRICIA (MSN, APN)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:BUSCH
Suffix:
Gender:
Credentials:MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 CHAVEZ DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4988
Mailing Address - Country:US
Mailing Address - Phone:775-224-2179
Mailing Address - Fax:
Practice Address - Street 1:10715 DOUBLE R BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8975
Practice Address - Country:US
Practice Address - Phone:775-284-8650
Practice Address - Fax:775-284-8654
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN58940163W00000X
NVAPN001293363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse