| Doctor Name: | CADORA BUSH |
| NPI Number: | 1013313204 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC |
| License Number: | 4704131505 |
| Business Practice Address: | 22750 Woodward Ave Ste. #309 Ferndale, MI - 482201777 |
| Business Phone Number: | 2485458787 |
| Business Fax Number: | |
| Mailing Address: | 22750 Woodward Ave, Ste. #309 FERNDALE |
| State: | MI |
| Postal Code: | 482201777 |
| Phone Number: | 2485458787 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2014 |
| NPI Last Update Date: | 11/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 4704131505 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |