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Holly Bushong, FNP-C
Family Nurse Practitioner in Ladoga, Indiana
NPI 1558143149

Holly Bushong is a Family Nurse Practitioner based in Ladoga, IN and is specialized in Family. Holly Bushong practices in Ladoga, IN and has the professional credentials of FNP-C. The NPI Number for Holly Bushong is 1558143149 and holds a License No. 71014493A (Indiana).

The current practice location address for Holly Bushong is 300 E Main St Ste 2, Ladoga, IN and can be reached out via phone at 765-946-3331 and via fax at 877-558-9529.

Location: 300 E Main St Ste 2, Ladoga, IN, 47954-7046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558143149
Provider Name
Holly Bushong
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
300 E Main St Ste 2, Ladoga, IN, 47954-7046
Phone Number
765-946-3331
Fax Number
877-558-9529
Provider Enumeration Date
10/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 E Main St Ste 2
City
Ladoga
State
Indiana
Zip
47954-7046
Phone Number
765-946-3331
Fax Number
877-558-9529
person
Provider Business Mailing Address Details
Address
300 E Main St Ste 2
City
Ladoga
State
Indiana
Zip
47954-7046
Phone Number
765-946-3331
Fax Number
877-558-9529
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71014493A (Indiana)
Definition
Definition to come...
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