Individual
MRS. ANDREA BERNADETTE BUSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CPNP
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404
(529) 992-5316
Mailing address
6109 SHERMAN CIR, EDINA, MN 55436-1953
(763) 355-2484
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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