Mrs. Tracy Elaine Bush
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1131 Leighton Ave
Anniston
, Alabama 36207-4610
Mrs. Tracy Elaine Bush
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1131 Leighton Ave
Anniston
, Alabama 36207-4610
(205) 960-0291
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Tracy Elaine Bush
- 6001 Enclave Pl
- Trussville, AL
- Zip : 35173-3833
- Phone : (205) 960-0291
Second Address
- Mrs. Tracy Elaine Bush
- 1131 Leighton Ave
- Anniston, AL
- Zip : 36207-4610
- Phone : (256) 237-0025
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 1-091713 | AL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 1-091713 | AL |
National Provider Identifier
| NPI | 1053973321 |
|---|---|
| Provider Name | Mrs. Tracy Elaine Bush |
| First Address | Trussville, AL 35173-3833 |
| Second Address | Anniston, AL 36207-4610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2019 |
| Last Update Date | 14/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.