DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANYA FAYE BUSH, APRN

Active

TANYA FAYE BUSH, APRN is a Nurse Practitioner healthcare provider located in SHALLOTTE, North Carolina. NPI 1619343803 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SHALLOTTE, NC

Registration Details

NPI Number
1619343803
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2015 (10.828259511364 yrs)
Last Updated
Sep 15, 2025
Licenses
5011389 (NC)
5011389 (NC)
APN0000020158 (TN)

Practice Information

Address
512 VILLAGE RD STE 104
SHALLOTTE, NC, 284703409
Browse NC providers · Browse ZIP 28470
Phone
9107214200
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in SHALLOTTE, NC

Name Credential NPI
MR. JOHN HUDSON FILLMORE FNP 1003889080
MARIE MCMILLAN WHEATLEY FNP-C 1497807986
LYNN ZINK NP 1265557706
MRS. CASSAUNDRA HOUSTON HEFNER FNP-BC 1306081468
MRS. JENNIFER LYNN CULLY MSN FNP-C 1518295559
MICHAEL R WINFREE JR. FNP 1619271681
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.