NPI 1003388497

Katrina Ann Bush

Practitioner Licensed Practical Nurse Broken Arrow, OK

Practice location

Address: 1721 E Omaha St APT B3, Broken Arrow, OK 74012-0363
Phone: (918) 896-9092
Mailing address: PO Box 140114, Broken Arrow, OK 74014-0015

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 68404 (OK)

Other Licensed Practical Nurse providers in Oklahoma →

Registry record

NPI: 1003388497
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2018
Record last updated: 22 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.