| NPI | 1629510979 |
|---|---|
| Former Name | ANDREA JEAN RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992762-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1619206) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |