Individual
LEAH ALEXIS BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1030 INTERNATIONAL BLVD, OAKLAND, CA 94606-3730
(510) 238-5400
(510) 238-5437
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95000695
CA
Other
Enumeration date
08/22/2011
Last updated
12/30/2014
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