Rush, Deborah Ann

Rush, Deborah Ann is an individual health care provider with primary practice located at 1550 N Crestmont Dr Suite E, Meridian ID 83642-2184. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rush, Deborah Ann can be contacted via phone (208) 288-4200.

Contact Information

Primary practice address
1550 N Crestmont Dr Suite E Meridian ID 83642-2184
Phone: (208) 288-4200
Fax: (208) 288-4279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 1268A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP1268A Idaho
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X N-25920 Idaho

Profile Details

NPI number 1518209196
LBN Legal business name Rush, Deborah Ann
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Feb 5th, 2021 - about 5 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 1518209196 NPPES
Idaho Other 12644208 CAQH
Idaho MEDICAID 1992858500 CAQH

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