Individual
CALLIE MARIA BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LAWN AVE STE 120, ELKHART, IN 46514-2450
(574) 523-2733
(574) 523-3251
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011411A
IN
363LP2300X
Primary Care Nurse Practitioner
71011411A
IN
Other
Enumeration date
08/17/2021
Last updated
08/11/2025
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