Individual
CECELIA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
(614) 340-3083
Mailing address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 398-3470
(614) 340-3083
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385503
—
OH
Enumeration date
02/27/2006
Last updated
01/16/2020
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