Bush, Vickie L

Bush, Vickie L is an individual health care provider with primary practice located at 4498 N 1St Ave , Evansville IN 47710-3622. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bush, Vickie L can be contacted via phone (812) 436-7280.

Contact Information

Primary practice address
4498 N 1St Ave Evansville IN 47710-3622
Phone: (812) 436-7280
Fax: (812) 436-7290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001673A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001673A Indiana

Profile Details

NPI number 1659372332
LBN Legal business name Bush, Vickie L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 10th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659372332 NPPES
Indiana MEDICAID 200464740
Indiana MEDICAID 78011269

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