Bush, Cheryl

Bush, Cheryl is an individual health care provider with primary practice located at 3950 N A W Grimes Blvd Ste N103 , Round Rock TX 78665-3540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Bush, Cheryl can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
3950 N A W Grimes Blvd Ste N103 Round Rock TX 78665-3540
Fax: (512) 218-1249
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP128923 Texas

Profile Details

NPI number 1023485562
LBN Legal business name Bush, Cheryl
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2015
Last updated Jan 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023485562 NPPES
Texas MEDICAID 3526212-01

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