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Individual

AMBREDAWN TACARA RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(855) 743-2247
Mailing address
2358 WINDLEY DR, GASTONIA, NC 28054-6203

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4029660
KY
363LP2300X
Primary Care Nurse Practitioner
285820
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5017519
NC

Other

Enumeration date
01/16/2023
Last updated
02/10/2026
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