Bush, Brenda D.

Bush, Brenda D. is an individual health care provider with primary practice located at 12747 Olive Blvd Ste 300 , Saint Louis MO 63141-6269. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bush, Brenda D. can be contacted via phone (314) 582-4398.

Contact Information

Primary practice address
12747 Olive Blvd Ste 300 Saint Louis MO 63141-6269
Phone: (314) 582-4398
Fax: (314) 582-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2019008150 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2009012212 Missouri

Profile Details

NPI number 1316192610
LBN Legal business name Bush, Brenda D.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Jan 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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