Danielle Anne Bush, LPN
Individual provider Active NPI Licensed Practical Nurse · Rootstown, OH
NPI 1770075236 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1770075236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN.133726.MEDS-IV (OH)
- Practice address
- 4868 Kelly Ave
Rootstown, OH 44272-9286 - Phone
- (330) 703-9207
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.133726.MEDS-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.133726.MEDS-IV | OH | Yes |
Addresses
Primary practice location
4868 Kelly Ave
Rootstown, OH 44272-9286
Mailing address
4868 Kelly Ave
Rootstown, OH 44272-9286
Phone (330) 703-9207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPN.133726.MEDS-IV | Other | OH | OHIO BOARD OF NURSING |
Other providers in Rootstown, OH
- Robert Stanley Blacklow
- Hunter Block-Beach
- Elizabeth Suzanne Bott
- Kaylee Brown
- Umida Burkhanova
- Dawn Marie Carrington
- Simran Chandawarkar
- Lydia Corinne Chlpka
- Katie Chong
- Robert Michael Christian II
All providers in Rootstown, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. 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.