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Callie Maria Bushong
Primary Care Nurse Practitioner in Goshen, Indiana
NPI 1497421986

Callie Maria Bushong is a Primary Care Nurse Practitioner based in Goshen, IN and is specialized in Primary Care. Callie Maria Bushong practices in Goshen, IN. The NPI Number for Callie Maria Bushong is 1497421986 and holds a License No. 71011411A (Indiana).

The current practice location address for Callie Maria Bushong is 808 N 3Rd St, Goshen, IN and can be reached out via phone at 574-534-0088.

Location: 808 N 3Rd St, Goshen, IN, 46528-7100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497421986
Provider Name
Callie Maria Bushong
Credential
Provider Entity Type
Individual
Gender
Female
Address
808 N 3Rd St, Goshen, IN, 46528-7100
Phone Number
574-534-0088
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
808 N 3Rd St
City
Goshen
State
Indiana
Zip
46528-7100
Phone Number
574-534-0088
Fax Number
person
Provider Business Mailing Address Details
Address
808 N 3Rd St
City
Goshen
State
Indiana
Zip
46528-7100
Phone Number
574-534-0088
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
71011411A (Indiana)
Definition
Definition to come...
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