Individual
CADORA BUSH
Active
Individual
CADORA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
4704131505
MI
163WC0400X
Case Management Registered Nurse
Primary
4704131505
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704131505
MI
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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