Individual
AMANDA RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4707 BUCKINGHAM CT, CHESTER, VA 23831-4261
(804) 748-9090
(804) 751-4815
Mailing address
4707 BUCKINGHAM CT, CHESTER, VA 23831-4261
(804) 748-9090
(804) 751-4815
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024187987
VA
Other
Enumeration date
09/01/2023
Last updated
10/02/2023
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