Individual
TAMMY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3105 NW PARRISH AVE, ALTHA, FL 32421-2113
(850) 624-6825
Mailing address
3105 NW PARRISH AVE, ALTHA, FL 32421-2113
(850) 624-6825
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN9586918
FL
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN9586918
FL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/08/2013
Last updated
03/19/2023
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