Individual
MIRIAM LEAH RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1233 LAKE PLAZA DR STE B, COLORADO SPRINGS, CO 80906-3567
(719) 418-6418
Mailing address
1233 LAKE PLAZA DR STE B, COLORADO SPRINGS, CO 80906-3567
(203) 706-5690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0997397-NP
CO
Other
Enumeration date
03/03/2022
Last updated
03/07/2022
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