Individual
ALICE M RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA12165NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558668491
MEDICARE RAILROAD
OH
05
—
3143253
—
OH
01
—
RN317655
RN OHIO LICENSE
OH
Enumeration date
02/11/2011
Last updated
05/20/2015
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