Tammy Bush, LPN

Individual provider Active NPI Licensed Practical Nurse · Oakfield, NY

NPI 1104256718 · NPPES record last updated Nov 18, 2013

Key facts

NPI
1104256718
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
311677-1 (NY)
Practice address
8 Park Ave
Oakfield, NY 14125-1026
Phone
(585) 857-7537
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
311677-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 311677-1 NY Yes

Addresses

Primary practice location

8 Park Ave
Oakfield, NY 14125-1026

Mailing address

8 Park Ave
Oakfield, NY 14125-1026
Phone (585) 857-7537

Other providers in Oakfield, NY

All providers in Oakfield, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.