Individual provider · Type 1 NPI

Tyler Blake Bush

Student in an Organized Health Care Education/Training Program · Gadsden, AL

NPI number 1831009109 Active

Practice location

1007 Goodyear Ave
Gadsden, AL 35903-1100

Mailing address

312 Lee St SE
Attalla, AL 35954-3528

Specialties and licenses

TaxonomyCodeLicense
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 1831009109

Tyler Blake Bush's National Provider Identifier is 1831009109, issued on Sep 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gadsden, AL. The record was last updated on Sep 9, 2026.