Individual
BRIAN ANDREW BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1055 N 300 W STE 205, PROVO, UT 84604-5044
(801) 374-9100
(801) 374-9117
Mailing address
1055 N 300 W STE 205, PROVO, UT 84604-5044
(801) 374-9100
(801) 374-9117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5127528-4405
UT
Other
Enumeration date
09/28/2010
Last updated
02/27/2014
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