TANYA FAYE BUSH

SHALLOTTE, NC
NPI1619343803
Former NameTANYA FAYE DUNCAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5011389)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5011389)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  APN0000020158)
Enumeration Date2015-08-11
Last Update Date2025-09-15
Business Address
-- TANYA FAYE BUSH APRN
512 VILLAGE RD STE 104
SHALLOTTE, NC 28470-3409
Phone number: 910-721-4200
Mailing Address
-- TANYA FAYE BUSH APRN
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: