Provider Demographics
NPI:1558316661
Name:BUZBY, MARIANNE (RN, MSN, CRNP)
Entity type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:BUZBY
Suffix:
Gender:F
Credentials:RN, MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1449
Mailing Address - Country:US
Mailing Address - Phone:856-428-5860
Mailing Address - Fax:
Practice Address - Street 1:34TH ST. & CIVIC CTR BLVD, THE CHILDRENS HOSP. OF PHILA
Practice Address - Street 2:DIVISION OF ENDOCRINOLOGY, 11NW, SUITE 30
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-3174
Practice Address - Fax:215-590-3053
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN246024L163WP0200X
NJ26NR06393100163WP0200X
PASP001292D363LP0200X
NJ26NN06393100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics