Kathy Ann Bussey, RN, BS, PHN

Individual provider Active NPI Community Health Registered Nurse · Nowata, OK

NPI 1336669571 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1336669571
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
R0028274 (OK)
Practice address
1020 Lenape Dr
Nowata, OK 74048-4403
Phone
(918) 273-7500
Fax
(918) 273-0194
NPI assigned
Jun 20, 2017
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
Credentials
Bachelor of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0028274OKMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X R0028274 OK Yes

Addresses

Primary practice location

1020 Lenape Dr
Nowata, OK 74048-4403

Mailing address

10236 S 4090 Rd
Oologah, OK 74053-6262
Phone (918) 273-7500

Other providers in Nowata, OK

All providers in Nowata, OK · Community Health Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.