Individual provider · NPI-1
Joseph John Bartush, FNP-BC
Nurse Practitioner, Family · Mishawaka, IN
NPI number1780070755
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1780070755
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph John Bartush
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2015
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 28164929A | IN | Yes |
| 207Q00000X | Family Medicine | 71005447A | IN |
Practice location
1540 Trinity PlMishawaka, IN 46545-5006
Phone 574-272-9000 · Fax 574-272-9010
Mailing address
1540 Trinity PlMishawaka, IN 46545-5006
Phone 574-272-9000 · Fax 574-272-9010
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