Individual
DEREK BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN CRNA
Contact information
Practice address
6400 W. NEWBERRY ROAD, SUITE 302, GAINESVILLE, FL 32605
(352) 331-8902
(352) 224-1094
Mailing address
6400 W. NEWBERRY ROAD, SUITE 302, GAINESVILLE, FL 32605
(352) 331-8902
(352) 224-1094
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9373016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017630800
—
FL
Enumeration date
02/24/2016
Last updated
11/16/2021
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