| Doctor Name: | CHERYL BUSH |
| NPI Number: | 1023485562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP-BC |
| License Number: | AP128923 |
| Business Practice Address: | 205 E University Ave Ste 200 Georgetown, TX - 786266821 |
| Business Phone Number: | 5126860207 |
| Business Fax Number: | |
| Mailing Address: | 6600 Preston Rd, Apt 1022 PLANO |
| State: | TX |
| Postal Code: | 750242542 |
| Phone Number: | 8322079217 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2015 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | AP128923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |