Individual provider · Type 1 NPI
Angelle Domonique Bush, NP
Family Nurse Practitioner · Denham Springs, LA
NPI number
1679940530
Active
Practice location
139 Veterans Blvd
Denham Springs, LA 70726-5130
Fax (225) 754-5204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP08278 (LA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1679940530
Angelle Domonique Bush, NP's National Provider Identifier is 1679940530, issued on Aug 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Denham Springs, LA. The record was last updated on Aug 27, 2015.