Individual
AMY SUE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1840 MEASE DR STE 404, SAFETY HARBOR, FL 34695-6606
(727) 712-0980
(813) 635-2694
Mailing address
1840 MEASE DR STE 404, SAFETY HARBOR, FL 34695-6606
(727) 712-0980
(813) 635-2694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28154057A
IN
363LA2200X
Adult Health Nurse Practitioner
71004528A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11025371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000828521
ANTHEM PROVIDER NUMBER
IN
05
—
201178780
—
IN
Enumeration date
06/14/2013
Last updated
03/31/2025
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