| NPI | 1659372332 |
|---|---|
| Professional Name | VICKIE L BUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001673A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001673A) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-06-10 |