MEDICARE: MICHELLE BUSHEY

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP500327963	DC

General Provider Information

NPI Number	:	1871369421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE BUSHEY

Provider Business Mailing Address
First Line	:	821 ALVAR ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70117-5407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3417 14TH ST NW OFC 6
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-3402
Country	:	US
Telephone Number	:	202-642-6416
Fax Number	:

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

Provider Enumeration Date	:	11/27/2023
Last Update Date	:	01/20/2026

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Directions to “ MICHELLE BUSHEY ” Practice Location

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