Individual
RENE A BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
322B HEYMANN BLVD STE 8, LAFAYETTE, LA 70503-2449
(225) 733-4790
Mailing address
1031 COOLIDGE BLVD # 51573, LAFAYETTE, LA 70503-2435
(225) 733-4790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN 060763
LA
Other
Enumeration date
04/28/2009
Last updated
06/30/2023
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