Chanel Bush
Nurse's Aide in Milwaukee, WI. Individual provider (NPI-1).
NPI number1992574248
StatusActive
Last updated in NPPESDec 28, 2023
Details
- NPI
- 1992574248
- Entity type
- Individual (NPI-1)
- Name
- Chanel Bush
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2023
- Certification date
- Dec 28, 2023
- Last updated
- Dec 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 61467112 | WA | Yes |
Practice location
5757 N 36th StMilwaukee, WI 53209-4007
Phone 346-450-4784
Mailing address
5757 N 36th StMilwaukee, WI 53209-4007
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 57 Nurse's Aide providers in Milwaukee · All 23,880 providers in Milwaukee
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