Individual
ANGELLE DOMONIQUE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
139 VETERANS BLVD, DENHAM SPRINGS, LA 70726-5130
(225) 754-5280
(225) 754-5204
Mailing address
139 VETERANS BLVD, DENHAM SPRINGS, LA 70726-5130
(225) 754-5280
(225) 754-5204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08278
LA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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