Individual ProviderKatie C BuskerNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address737 Broadway, Fargo, ND 58122(701) 234-6258(218) 847-5611PECOS EnrollmentBased on the most recent information from CMS, provider Katie C Busker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:59 PM.Profile DetailsProvider ID1023268711Provider TypeIndividualFull NameBusker, Katie CCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date9/30/2008Last Updated9/4/2018Contact InformationPractice LocationPractice Address737 Broadway, Fargo, ND 58122Phone(701) 234-6258FaxUnlisted FaxMailing LocationMailing Address1027 Washington Ave, Detroit Lakes, MN 56501-3409Phone(218) 847-5611FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR30651North Dakota