Individual
BERNADETTE MICHELE RICHARDSON BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1106 SCOTT ST, WILKES BARRE, PA 18705-3719
(570) 706-6381
Mailing address
1106 SCOTT ST, WILKES BARRE, PA 18705-3719
(570) 706-6381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L33749
AR
164W00000X
Licensed Practical Nurse
Primary
PN275529
PA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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