Individual
ANGELA LYNN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
890 W FARIS RD STE 310, GREENVILLE, SC 29605-4281
(864) 455-8300
Mailing address
104 GREENLEAF DR, GREER, SC 29651-2624
(540) 408-9598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23045544
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23045544
NCSBN
SC
Enumeration date
04/01/2024
Last updated
04/01/2024
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