Female

Chanel Bush

Nurse's Aide in Milwaukee, WI(View on Map)

Full Name

Chanel Bush

NPI Number

1992574248

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/28/2023

Specialties

(Taxonomies)

Code

376K00000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

61467112

Contact
Information

Purpose

Mailing
Location

Address

5757 N 36TH ST
5757 N 36TH ST

City

Milwaukee
Milwaukee

State

WI
WI

Postal Code

53209-4007
53209-4007

Country

US
US

Telephone Number

N/A
(346) 450-4784

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/28/2023

Provider Address

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