| Doctor Name: | MRS. TARA ANN BUSSETT |
| NPI Number: | 1023008158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | UP006453G |
| Business Practice Address: | 919 Conestoga Rd Rosemont, PA - 190101352 |
| Business Phone Number: | 6105754200 |
| Business Fax Number: | 6105251801 |
| Mailing Address: | 4018 School House Ln, PLYMOUTH MEETING |
| State: | PA |
| Postal Code: | 194621514 |
| Phone Number: | 6108340846 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2005 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | UP006453G |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |