Individual
AMY BETH BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4610 E STREET RD, FEASTERVILLE TREVOSE, PA 19053-6612
(610) 647-0330
(267) 495-1707
Mailing address
240 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-2332
(610) 647-0330
(267) 495-1707
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN545080
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP019362
PA
Other
Enumeration date
09/12/2018
Last updated
10/15/2018
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