Individual
BRIANNA MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
322 US HIGHWAY 41 STE 102, SCHERERVILLE, IN 46375-4203
(219) 322-3131
(219) 322-9494
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300093360
—
IN
Enumeration date
05/01/2023
Last updated
08/19/2024
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