MEDICARE: TRISHA MARIE BUSH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	9120360	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	363A00000X	Physician Assistant	5246	TN

General Provider Information

NPI Number	:	1518537133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA MARIE BUSH PA

Provider Business Mailing Address
First Line	:	1900 PATTERSON ST STE 205
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2165
Country	:	US
Telephone Number	:	615-329-0341
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 PATTERSON ST STE 205
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2165
Country	:	US
Telephone Number	:	615-329-0341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2021
Last Update Date	:	07/13/2025

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Directions to “ TRISHA MARIE BUSH PA” Practice Location

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