Individual
MRS. LISA M BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
37 S 40TH ST, PHILADELPHIA, PA 19104-3042
(215) 444-7470
(215) 764-6556
Mailing address
PO BOX 746722, ATLANTA, GA 30374-6722
(215) 349-5680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017336
PA
Other
Enumeration date
01/17/2017
Last updated
04/28/2025
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