Individual
ANDREA WICK BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5530 WISCONSIN AVE STE 1660, CHEVY CHASE, MD 20815-4322
(301) 657-9876
(301) 657-8229
Mailing address
5530 WISCONSIN AVE STE 1660, CHEVY CHASE, MD 20815-4322
(301) 657-9876
(301) 657-8229
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003208
MD
363AS0400X
Surgical Physician Assistant
PA030404
DC
Other
Enumeration date
10/01/2006
Last updated
04/06/2023
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