Individual
ERICA MARIE RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6649 N RIVERSIDE DR, FORT WORTH, TX 76137-6640
(817) 847-1860
Mailing address
14601 WOODSHADOW LN, ADDISON, TX 75001-7988
(214) 308-1348
(775) 320-6402
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
AP119668
TX
208VP0000X
Pain Medicine Physician
Primary
AP119668
TX
363LA2100X
Acute Care Nurse Practitioner
AP119668
TX
Other
Enumeration date
03/03/2011
Last updated
09/19/2025
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