Individual
MS. SHIRLEY MATTIS BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1527 LAVINGTON CT, GASTONIA, NY 28056
(704) 862-0374
Mailing address
1527 LAVINGTON CT, GASTONIA, NY 28056
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
205
NC
Other
Enumeration date
10/02/2006
Last updated
10/06/2008
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