Provider Demographics
NPI:1629876875
Name:HALULA-BUSBY, ANNA LEA (RN)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LEA
Last Name:HALULA-BUSBY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:LEA
Other - Last Name:HALULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:556 VINCENT ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80914-1541
Mailing Address - Country:US
Mailing Address - Phone:719-313-2522
Mailing Address - Fax:719-556-6876
Practice Address - Street 1:556 VINCENT ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80914-1541
Practice Address - Country:US
Practice Address - Phone:719-313-2522
Practice Address - Fax:719-556-6876
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-0188715163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management