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Contact Information

KACEY R BUSQUE, NNP
700 S PARK ST
MADISON, WI53715-1830
 Phone: 931-993-5073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for KACEY R BUSQUE · (Female)

NPI # 1508408089
Status Active
Credentials NNP
Entity Individual
Enumeration date 10/16/2019
Last updated 11/08/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704380497
  • TN License # 187805
  • WI License # 14684-33
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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