National Provider Identifier

Gail K Bush, LPN

Gail K Bush, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1548392624Lyons, NYLicensed Practical Nurse

Profile Overview

NPI
1548392624
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 12, 2007
Last Updated
July 08, 2007

Practice Location

  • 1519 Nye Road
  • Wayne Behavioral Health Network
  • Lyons, NY 14489

Phone: (315) 946-5722

Mailing Address

  • 1519 Nye RD
  • Lyons, NY 14489

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1548392624
Entity Type
Individual
Last Name
Bush
First Name
Gail
Middle Name
K
Name Prefix
Mrs.
Credential
LPN
Provider Other Last Name
Kunkle
Provider Other First Name
Gail
Provider Other Middle Name
Joan
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
1519 Nye RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489
Mailing Country
US
Mailing Phone
(315) 946-5722
Mailing Fax
(315) 946-7005
Practice Street Address
1519 Nye Road
Practice Address Line 2
Wayne Behavioral Health Network
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489
Practice Country
US
Practice Phone
(315) 946-5722
Practice Fax
(315) 946-7066
Enumeration Date
March 12, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02249154 (NY)