Individual
MRS. TRACY ELAINE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1131 LEIGHTON AVE, ANNISTON, AL 36207-4610
(256) 237-0025
Mailing address
6001 ENCLAVE PL, TRUSSVILLE, AL 35173-3833
(205) 960-0291
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-091713
AL
363LG0600X
Gerontology Nurse Practitioner
1-091713
AL
Other
Enumeration date
07/08/2019
Last updated
11/14/2019
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