Individual
CHRISI KATARINA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C
Contact information
Practice address
132 S 10TH ST, PHILADELPHIA, PA 19107-5244
(215) 955-6840
Mailing address
249 20TH AVE, MILMAY, NJ 08340-3219
(609) 870-9140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01118100
NJ
363L00000X
Nurse Practitioner
Primary
SP023288
PA
Other
Enumeration date
06/16/2021
Last updated
12/05/2023
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