Individual provider · Type 1 NPI

Lisa M. Bush, CRNP

Family Nurse Practitioner · Philadelphia, PA

NPI number 1306382171 Active

Practice location

37 S 40th St
Philadelphia, PA 19104-3042

Call (215) 444-7470 Map

Fax (215) 764-6556

Mailing address

PO Box 746722
Atlanta, GA 30374-6722

Other practice locations

  • 3400 Civic Center Blvd, 3rd Floor, Phila, PA 19104-5127 · (215) 662-3318

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP017336 (PA)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1306382171

Lisa M. Bush, CRNP's National Provider Identifier is 1306382171, issued on Jan 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 28, 2025.