TARA DENISE BUSH

SMITHFIELD, NC
NPI1083696868
Former NameTARA DENISE NORMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  9600390)
Enumeration Date2005-11-16
Last Update Date2008-09-29
Business Address
Mrs. TARA DENISE BUSH N.P.
707 LASSITER ST
SMITHFIELD, NC 27577-4613
Phone number: 919-209-9856
Mailing Address
Mrs. TARA DENISE BUSH N.P.
707 LASSITER ST
SMITHFIELD, NC 27577-4613
Phone number: 919-209-9856