Most Relevant Information
Provider Data
| NPI Number: | 1003316001 |
| Provider Name: | TIFFANY ROBIN BUSH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | 816730 |
Most Important Dates
| Enumeration Date: | 02/15/2018 |
| Last Updated: | 02/15/2018 |
Provider Practice Location
174 PR 5987
YANTIS
TX
754975494
Practice Location Phone/Fax
| Phone: | 2147097803 |
| Fax: |
Provider Mailing Location
174 PR 5987
YANTIS
TX
754975494
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |