Deana Marie Busch, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Millcreek, UT

NPI 1043860737 · NPPES record last updated Mar 31, 2025

Key facts

NPI
1043860737
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
11453601-4405 (UT)
Practice address
4646 S Highland Dr Ste 100
Millcreek, UT 84117-5270
Phone
(801) 871-9446
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11453601-4405UTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11453601-4405 UT Yes

Addresses

Primary practice location

4646 S Highland Dr Ste 100
Millcreek, UT 84117-5270

Mailing address

3786 S Montecito St
Millcreek, UT 84106-2926
Phone (801) 910-0853

Other providers in Millcreek, UT

All providers in Millcreek, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.