Bush, Lastacia
Bush, Lastacia is an individual health care provider with primary practice located at 7599 W Sand Lake Rd , Orlando FL 32819-5109. She recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Rehabilitation, Nursing Service Providers / Wound Care, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bush, Lastacia can be contacted via phone (407) 352-1177.Contact Information
Primary practice address
7599 W Sand Lake Rd
Orlando FL 32819-5109
Phone: (407) 352-1177
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Home Health | 163WH0200X | 9374281 | Florida |
Nursing Service Providers / Pediatrics | 163WP0200X | 9374281 | Florida |
Nursing Service Providers / Registered Nurse | 163W00000X | 9374281 | Florida |
Nursing Service Providers / Rehabilitation | 163WR0400X | 9374281 | Florida |
Nursing Service Providers / Wound Care | 163WW0000X | 9374281 | Florida |
Nursing Service Related Providers / Adult Companion | 372600000X | 9374281 | Florida |
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | 9374281 | Florida |
Nursing Service Related Providers / Home Health Aide | 374U00000X | 9374281 | Florida |
Nursing Service Related Providers / Nurse's Aide | 376K00000X | 9374281 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 11022488 | Florida |
Profile Details
NPI number | 1437615523 |
---|---|
LBN Legal business name | Bush, Lastacia |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2019 |
Last updated | Nov 16th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437615523 | NPPES |
Florida | MEDICAID | 0135291002 |
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