Provider Demographics
NPI:1750557385
Name:BUSEMAN, LINDA GERALYN (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:GERALYN
Last Name:BUSEMAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 UCB
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-5001
Mailing Address - Country:US
Mailing Address - Phone:303-492-5654
Mailing Address - Fax:303-735-1900
Practice Address - Street 1:WARDENBURG HEALTH CENTER PHP
Practice Address - Street 2:119 UCB
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0001
Practice Address - Country:US
Practice Address - Phone:303-492-5654
Practice Address - Fax:303-735-1900
Is Sole Proprietor?:No
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO140621363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health