| Doctor Name: | HALLY BUSH |
| NPI Number: | 1053757542 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4704235554 |
| Business Practice Address: | 300 E Warwick Dr Alma, MI - 488011014 |
| Business Phone Number: | 9894631101 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1347, MT PLEASANT |
| State: | MI |
| Postal Code: | 488041347 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2013 |
| NPI Last Update Date: | 05/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 4704235554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |