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ELIZABETH ELAINE BUSHONG NPI 1215630454


NPI Information

NPI: 1215630454
Provider Name: ELIZABETH ELAINE BUSHONG
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
330 BARCLAY AVE NE STE 104
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-6243
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Elizabeth Elaine Bushong is a student in an organized health care education training program in Grand Rapids, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Elizabeth Elaine Bushong NPI is 1215630454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BARCLAY AVE NE STE 104
GRAND RAPIDS, MI
ZIP 49503-525
Phone: (616) 391-6243

The enumeration date for this NPI number is 3/27/2023 and was last updated on 4/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.