Individual
CHARITY BUSHATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5475 S 500 E, OGDEN, UT 84405-6905
(801) 479-2111
Mailing address
1008 WESTBURY CT, NORTH SALT LAKE, UT 84054-6029
(801) 699-1952
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
9424423-3102
UT
363LN0000X
Neonatal Nurse Practitioner
Primary
9424423-4405
UT
Other
Enumeration date
06/17/2020
Last updated
03/22/2022
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