Individual
WENDY P BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Mailing address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
145693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145693
CRNA LICENSE NUMBER
NC
Enumeration date
05/16/2006
Last updated
10/04/2007
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