Melissa Ashley Busch, RN
Individual provider Active NPI Registered Nurse · Columbia, MO
NPI 1417487265 · NPPES record last updated Jun 14, 2017
Key facts
- NPI
- 1417487265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 2012020169 (MO)
- Practice address
- 4812 Santana Cir
Columbia, MO 65203-7138 - Phone
- (217) 725-8787
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012020169 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012020169 | MO | Yes |
Addresses
Primary practice location
4812 Santana Cir
Columbia, MO 65203-7138
Mailing address
4008 Faurot Dr
Columbia, MO 65203-0312
Phone (217) 725-8787
Other providers in Columbia, MO
- Eric Burton
- Glenna Christine Burton
- Jacob Burton
- Russell K Burton
- Melissa Dawn Burwell
- Dana L. Busche-Goodson
- Margaret Bushnell
- Vicki Louise Buss
- Joseph G Bussell
- Stephanie Bustros
All providers in Columbia, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.