MARK A BUSH

LOUISVILLE, KY
NPI1730733783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3013601)
Enumeration Date2019-07-29
Last Update Date2023-02-13
Business Address
Mr. MARK A BUSH PMHNP
3015 WILSON AVE
LOUISVILLE, KY 40211
Phone number: 502-774-4401
Mailing Address
Mr. MARK A BUSH PMHNP
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401