Individual
DENISE NOEL BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3151 LEITCHFIELD RD, OWENSBORO, KY 42303-2115
(270) 685-1260
(270) 685-1284
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006592
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000697003
ANTHEM - NMA
KY
01
—
000057094Z
HUMANA - NMA
KY
01
—
123075
SIHO - NMA
KY
05
—
201019490
—
IN
01
—
50031970
PASSPORT & PASSPORT ADVTG - NMA
KY
05
—
7100152260
—
KY
01
—
P00925545
RAILROAD MEDICARE KY - NMA
KY
Enumeration date
09/28/2010
Last updated
02/23/2021
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