Individual
ANGELA L RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4045 W CHANDLER BLVD BLDG F, CHANDLER, AZ 85226-3732
(480) 917-3706
(480) 353-2066
Mailing address
4045 W CHANDLER BLVD BLDG F, CHANDLER, AZ 85226-3732
(480) 917-3706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10064
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266877
—
AZ
Enumeration date
04/26/2017
Last updated
05/05/2020
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