Individual
RYAN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 HARCOURT RD STE 2, MOUNT VERNON, OH 43050-3944
(614) 987-8847
Mailing address
508 JACKSON ST, COLUMBUS, OH 43206-1353
(614) 535-5125
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.501365
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034229
OH
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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