Individual
MR. JOSEPH JOHN BARTUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
(574) 272-9010
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
(574) 272-9010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
71005447A
IN
363LF0000X
Family Nurse Practitioner
Primary
28164929A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71005447A
STATE BOARD OF NURSING APN PRESCRIPTIVE AUTHORITY
IN
Enumeration date
04/07/2015
Last updated
03/07/2023
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