Individual
STEPHANIE H. BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9732
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9732
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
AP05323
LA
363LP0222X
Critical Care Pediatric Nurse Practitioner
RN094547
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03839501
—
MS
05
—
1037206
—
LA
Enumeration date
03/10/2008
Last updated
04/15/2014
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