| Nicole Marie Busch, FNP-BC | |
|
912 Main St, Littlefork, MN 56653-9357 | |
| (218) 278-6634 | |
| (218) 278-6637 |
| Full Name | Nicole Marie Busch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 912 Main St, Littlefork, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669812459 | NPI | - | NPPES |
| CNP 2635 | Other | MN | APRN LICENSE NUMBER |
| R143402-8 | Other | MN | MINNESOTA RN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CNP 2635 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Bemidji Hospice | Bemidji, MN | Hospice |
| Rainy Lake Medical Center | International falls, MN | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| International Falls Memorial Hospital Association | 1951365998 | 18 |
| Entity Name | International Falls Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528041183 PECOS PAC ID: 1951365998 Enrollment ID: O20041118000626 |
| Entity Name | International Falls Memorial Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1528041183 PECOS PAC ID: 1951365998 Enrollment ID: O20061104000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Busch, FNP-BC 912 Main St, Littlefork, MN 56653-9357 Ph: (218) 278-6634 | Nicole Marie Busch, FNP-BC 912 Main St, Littlefork, MN 56653-9357 Ph: (218) 278-6634 |
Linda Helene Nordlund, F-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 912 Main St, Littlefork, MN 56653 Phone: 218-278-6634 Fax: 218-278-6637 |