Provider Demographics
NPI:1770474751
Name:BUSTER, AMY LEE
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LEE
Last Name:BUSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COURTYARD DR APT 201
Mailing Address - Street 2:
Mailing Address - City:NORTH SIOUX CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5224
Mailing Address - Country:US
Mailing Address - Phone:712-212-8502
Mailing Address - Fax:
Practice Address - Street 1:117 N UNION ST STE 1
Practice Address - Street 2:
Practice Address - City:PONCA
Practice Address - State:NE
Practice Address - Zip Code:68770-7297
Practice Address - Country:US
Practice Address - Phone:712-251-7523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider