Individual provider · Type 1 NPI

Krista Marie Bush, FNP-C

Nurse Practitioner · Caldwell, ID

NPI number 1902364995 Active

Practice location

512 N 21st Ave
Caldwell, ID 83605-4368

Fax (208) 888-9525

Mailing address

10482 W Carlton Bay Dr
Garden City, ID 83714-5143

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XNP95037424 (CA)
Nurse Practitioner Primary 363L00000X5571090 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902364995

Krista Marie Bush, FNP-C's National Provider Identifier is 1902364995, issued on Mar 8, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Caldwell, ID. The record was last updated on Oct 12, 2026.