NPI 1093741316 · live from the CMS NPI Registry
Andrea Bernadette Bushaw, APN/CPNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1093741316, active.
NPI record
| NPI | 1093741316 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2525 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 529-992-5316 |
| Mailing address | 6109 Sherman Cir, Edina, MN 55436 |
| Enumerated | June 26, 2006 |
| Last updated | July 9, 2018 |
| Sole proprietor | No |
| Other names | Andrea Bell |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | R1924994 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.