Individual
KRISTA MARIE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1648 NW 1ST ST, MERIDIAN, ID 83642-2212
(208) 888-9393
(208) 888-9525
Mailing address
10482 W CARLTON BAY DR, GARDEN CITY, ID 83714-5143
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5571090
ID
363LF0000X
Family Nurse Practitioner
NP95037424
CA
Other
Enumeration date
03/08/2019
Last updated
04/06/2026
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