Individual
KOLTEN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 HEALTHCARE WAY UNIT 103, NORTH VENICE, FL 34275-3670
(941) 261-0160
(941) 261-0165
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11017693
FL
Other
Enumeration date
01/25/2022
Last updated
06/09/2025
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