Mrs. LISA MARIE BUSS
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1679929244- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 660 S EUCLID AVE, SAINT LOUIS, MO, 631101010
- Phone
- (314) 218-5415
Specialties & Taxonomies
Registered Nurse
License: IL #041427388
Registered Nurse
License: MO #2010005708
Nurse Practitioner, Family
Primary License: MO #2016005841