Bush, Lastacia

Bush, Lastacia is an individual health care provider with primary practice located at 7599 W Sand Lake Rd , Orlando FL 32819-5109. She recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Rehabilitation, Nursing Service Providers / Wound Care, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bush, Lastacia can be contacted via phone (407) 352-1177.

Contact Information

Primary practice address
7599 W Sand Lake Rd Orlando FL 32819-5109
Phone: (407) 352-1177
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 9374281 Florida
Nursing Service Providers / Pediatrics 163WP0200X 9374281 Florida
Nursing Service Providers / Registered Nurse 163W00000X 9374281 Florida
Nursing Service Providers / Rehabilitation 163WR0400X 9374281 Florida
Nursing Service Providers / Wound Care 163WW0000X 9374281 Florida
Nursing Service Related Providers / Adult Companion 372600000X 9374281 Florida
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 9374281 Florida
Nursing Service Related Providers / Home Health Aide 374U00000X 9374281 Florida
Nursing Service Related Providers / Nurse's Aide 376K00000X 9374281 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11022488 Florida

Profile Details

NPI number 1437615523
LBN Legal business name Bush, Lastacia
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2019
Last updated Nov 16th, 2022 - about 4 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 1437615523 NPPES
Florida MEDICAID 0135291002

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