Organization
ADVANCEDNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA RUSH ACNP-BC (OWNER/CEO)
(214) 620-1145
Entity
Organization
Contact information
Practice address
6649 N RIVERSIDE DR, FORT WORTH, TX 76137-6640
(817) 847-1860
Mailing address
14601 WOODSHADOW LN, ADDISON, TX 75001-7988
(214) 620-1145
(775) 320-6402
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
08/14/2025
Last updated
09/19/2025
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