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Individual

MS. KATIE M BUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNP

Contact information

Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-8882
(419) 696-8819
Mailing address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-8882
(419) 696-8819

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.021071
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024191966
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4030094
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.021071
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0248238
OH
Enumeration date
07/14/2017
Last updated
01/21/2025
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