Patricia G Bush, MSN RN AGPCNP
Individual provider Active NPI Gerontology Nurse Practitioner · Stigler, OK
NPI 1295415917 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1295415917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- R0113507 (OK)
- Practice address
- 1504 E Main St
Stigler, OK 74462-2805 - Phone
- (918) 413-9788
- NPI assigned
- Jul 18, 2023
- 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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0113507 | OK | MD | Administrator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R0113507 | OK | Yes |
Addresses
Primary practice location
1504 E Main St
Stigler, OK 74462-2805
Mailing address
1504 E Main St
Stigler, OK 74462-2805
Phone (918) 413-9788
Other providers in Stigler, OK
- Eric S. Broadway
- Anita Busby
- Alysha Buselt
- Joshua Michael Buselt
- Kensie Bush
- Vicki Bush
- Chasity Jane Butler
- Sheila Lynn Butler
- Austin B Byrum
- Sarah E Byrum
All providers in Stigler, OK · Gerontology Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.