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Individual
LASTACIA BUSH
Active
Individual
LASTACIA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9374281
FL
163WH0200X
Home Health Registered Nurse
9374281
FL
163WP0200X
Pediatric Registered Nurse
9374281
FL
163WR0400X
Rehabilitation Registered Nurse
9374281
FL
163WW0000X
Wound Care Registered Nurse
9374281
FL
363LF0000X
Family Nurse Practitioner
Primary
11022488
FL
372600000X
Adult Companion
9374281
FL
373H00000X
Day Training/Habilitation Specialist
9374281
FL
374U00000X
Home Health Aide
9374281
FL
376K00000X
Nurse's Aide
9374281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135291002
—
FL
Enumeration date
02/14/2019
Last updated
11/16/2022
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