MS. Nichole L Bussnamas, PAC

NPI #1881684819 in Ankeny, Iowa

Provider Information

NPI Number: 1881684819
Entity Type: Individual
Name: MS. Nichole L Bussnamas, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1605 SE DELAWARE AVE
Address 2: SUITE F
City: Ankeny
State: Iowa
ZIP Code: 50021-4594
Phone: (515) 964-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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