Individual
LATIANNA CAIN-BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
512 N SWARTHMORE AVE, RIDLEY PARK, PA 19078-3220
(267) 528-8414
Mailing address
512 N SWARTHMORE AVE, RIDLEY PARK, PA 19078-3220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP20221
PA
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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