Individual provider · Type 1 NPI

Bridget Rose Bushong

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1770084188 Active

Practice location

3853 Forest Park Ave Apt 333
St. Louis, MO 63108-3361

Call (618) 975-3386 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770084188

Bridget Rose Bushong's National Provider Identifier is 1770084188, issued on Feb 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 4, 2018.