NAVEENA BUSHAN NP NPI 1952309007

NPI Information

NPI: 1952309007
Provider Name: NAVEENA BUSHAN, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: LEGACY CLINICS LLC

PECOS Registration: Yes

Address:
111 S 11TH ST
SUITE 1950 GIBBON
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-9207
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Naveena Bushan, NP is an acute care nurse practitioner in Philadelphia, PA with 20 years of experience. Naveena Bushan, NP NPI is 1952309007. 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:

111 S 11TH ST
SUITE 1950 GIBBON
PHILADELPHIA, PA
ZIP 19107-824
Phone: (215) 955-9207

The NPI 1952309007 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 11/4/2011.

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
1	363LA2100X	Nurse Practitioner	Acute Care	SP010298	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q38578	MEDICARE UPIN
2	016606M65	MEDICARE PIN	DISTRICT OF COLUMBIA

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: 11/14/2023

NPI Synchronization or Removal

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