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Individual
MRS. TERESA E RUSH
Active
Individual
MRS. TERESA E RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP08376
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.08376
OH
363LF0000X
Family Nurse Practitioner
NP08376
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384645
ANTHEM
OH
01
—
000000527472
ANTHEM BCBS
OH
01
—
11501495
CAQH
OH
01
—
1821159575
ANTHEM
OH
05
—
2623441
—
OH
Enumeration date
12/13/2006
Last updated
06/13/2018
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