Individual
CHERYL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
3950 N A W GRIMES BLVD STE N103, ROUND ROCK, TX 78665-3540
(877) 800-5722
(512) 218-1249
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(877) 800-5722
(512) 869-2940
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP128923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3526212-01
—
TX
Enumeration date
09/01/2015
Last updated
01/10/2018
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