Provider Demographics
NPI:1427327774
Name:BUSCHBACH, DEANNE (RN NNP PNP)
Entity type:Individual
Prefix:
First Name:DEANNE
Middle Name:
Last Name:BUSCHBACH
Suffix:
Gender:F
Credentials:RN NNP PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 DRAYMORE WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-8676
Mailing Address - Country:US
Mailing Address - Phone:919-696-5688
Mailing Address - Fax:
Practice Address - Street 1:2424 ERWIN RD
Practice Address - Street 2:SUITE 500, ROOM 5027
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3824
Practice Address - Country:US
Practice Address - Phone:919-684-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC930106363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care