Individual
CAROL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0002
(402) 559-4081
(402) 559-7372
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101154
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101154
CRNA
NE
01
—
69551
RN
NE
Enumeration date
04/15/2011
Last updated
11/09/2016
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