Carol Bushman

NPI 1164613527 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1164613527
Gender Female
Enumeration Date 08/09/2007
Last Updated 05/20/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
1615 MAPLE LN STE 1
ASHLAND WI, 54806-3610, US
Phone (715) 685-7500
Fax
Business Location
1615 MAPLE LN STE 1
ASHLAND WI, 54806-3610, US
Phone (715) 685-7500
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Wisconsin
License Number 152573-030
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According to our database, Carol Bushman NPI is 1164613527, taxonomy code is 363LF0000X and license number is 152573-030, license state is located at Wisconsin. Carol Bushman physically located at 1615 Maple Ln Ste 1, Ashland WI, 54806-3610. NPI Number Carol Bushman has the Individual type.

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1164613527 NPI number is provided on an as is basis without warranty of any kind. 1164613527 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Bushman are for informational purposes only.