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Individual

AMY ANDERSEN BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
170 MEDICAL PARK RD STE 101, MOORESVILLE, NC 28117-8541
(980) 302-7070
(980) 302-7075
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007591
NC
363LA2200X
Adult Health Nurse Practitioner
4841
CT

Other

Enumeration date
10/14/2011
Last updated
04/05/2022
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