Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLADYS T BUSH, HEALTH COACH CCMA
Active Sole ProprietorGLADYS T BUSH, HEALTH COACH CCMA is a 405300000X healthcare provider located in SHREVEPORT, Louisiana. NPI 1891326690 is currently active in the NPPES registry. Verify at CMS.
405300000X · SHREVEPORT, LA
Registration Details
- NPI Number
- 1891326690
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2020 (6.5683192518242 yrs)
- Last Updated
- Jan 30, 2020
- License
-
60312804 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9501 CHASE WAYSHREVEPORT, LA, 711184619Browse LA providers · Browse ZIP 71118
- Phone
- 3187730657
- Fax
- 3186881559
- Primary Specialty
-
405300000X
405300000X
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.