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NPI Code Detail

MEDICARE: STEPHANIE BUSH

MEDICARE: STEPHANIE BUSH
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
1363LG0600XGerontology Nurse Practitioner26NR15506700NJ

General Provider Information

NPI Number : 1376476176
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BUSH
Provider Business Mailing Address
First Line : 740 ANNA PL
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07063-1602
Country : US
Telephone Number : 908-246-2805
Fax Number :
Provider Business Practice Location Address
First Line : 94 OLD SHORT HILLS RD
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-5672
Country : US
Telephone Number : 973-322-2846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ STEPHANIE BUSH ” Practice Location

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