Individual
MRS. ANDREA BERNADETTE BUSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1924994
MN
Other
Enumeration date
06/26/2006
Last updated
07/09/2018
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