Individual provider · NPI-1
Chasidee Bush, RN
Registered Nurse, General Practice · Honolulu, HI
NPI number1700631405
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1700631405
- Entity type
- Individual (NPI-1)
- Name
- Chasidee Bush
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN-70179 | HI | Yes |
Practice location
459 Patterson RdHonolulu, HI 96819-1522
Phone 808-756-4566
Mailing address
459 Patterson RdHonolulu, HI 96819-1522
Phone 808-756-4566
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