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Individual
LINDA L BUSH
Active
Individual
LINDA L BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
332764
NY
363LF0000X
Family Nurse Practitioner
Primary
F332764
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026861002
UNIVERA
—
01
—
000560849001
BC/BS
—
05
—
02526194
—
NY
01
—
040426002202
FIDELIS
—
01
—
9512609
IHA
—
Enumeration date
04/21/2006
Last updated
12/07/2009
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