Individual
MRS. PATRICIA G BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN AGPCNP
Contact information
Practice address
1504 E MAIN ST, STIGLER, OK 74462-2805
(918) 413-9788
Mailing address
1504 E MAIN ST, STIGLER, OK 74462-2805
(918) 413-9788
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R0113507
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
R0113507
OK
Other
Enumeration date
07/18/2023
Last updated
06/24/2026
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