Individual
SHERRY LEE BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6448 CHINOOK ST., BONNERS FERRY, ID 83805-8380
(208) 267-8710
(208) 549-7009
Mailing address
672 MEADOW CREEK RD., BONNERS FERRY, ID 83805
(208) 946-0640
(208) 267-7854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54607
ID
Other
Enumeration date
11/12/2010
Last updated
02/01/2019
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