Individual provider · Type 1 NPI

Katrina Ann Bush

Licensed Practical Nurse · Broken Arrow, OK

NPI number 1003388497 Active

Practice location

1721 E Omaha St Apt B3
Broken Arrow, OK 74012-0363

Mailing address

PO Box 140114
Broken Arrow, OK 74014-0015

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X68404 (OK)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003388497

Katrina Ann Bush's National Provider Identifier is 1003388497, issued on Dec 22, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Dec 22, 2018.