Individual provider · NPI-1
Christine Busby
Nurse Practitioner, Pediatrics · Livingston, NJ
NPI number1629320403
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1629320403
- Entity type
- Individual (NPI-1)
- Name
- Ms. Christine Busby
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2012
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 26NJ01357600 | NJ | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | F383286-01 | NY |
Practice location
75 E Northfield RdLivingston, NJ 07039-4532
Phone 973-436-1540 · Fax 973-533-0197
Mailing address
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone 908-273-4300
Other practice locations
620 Columbus Ave Ste 1
New York, NY 10024-1459
New York, NY 10024-1459
Phone 212-874-4500 · Fax 212-874-9046
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