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Ms. Loretta L Bush, NP
Pediatric Nurse Practitioner in Milwaukee, Wisconsin
NPI 1669423059

Loretta L Bush is a Pediatric Nurse Practitioner based in Milwaukee, WI and is specialized in Pediatrics. Loretta L Bush practices in Milwaukee, WI and has the professional credentials of NP. The NPI Number for Loretta L Bush is 1669423059 and holds a License No. 2591 (Wisconsin).

The current practice location address for Loretta L Bush is 9000 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-266-7650 and via fax at 414-266-6749.

Location: 9000 W Wisconsin Ave, Milwaukee, WI, 53226-4874
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Provider Profile Details
NPI Number
1669423059
Provider Name
Loretta L Bush
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9000 W Wisconsin Ave, Milwaukee, WI, 53226-4874
Phone Number
414-266-7650
Fax Number
414-266-6749
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669423059 05 WI
039906261V 01 HUMANA
institution
Provider Business Practice Location Address Details
Address
9000 W Wisconsin Ave
City
State
Zip
53226-4874
Phone Number
414-266-7650
Fax Number
414-266-6749
person
Provider Business Mailing Address Details
Address
9000 W Wisconsin Ave
City
State
Zip
53226-4874
Phone Number
414-266-7650
Fax Number
414-266-6749
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2591 (Wisconsin)
Definition
Definition to come...
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