Dere Randolph Bushey in Long Beach - Psychiatric/mental Health
Dere Randolph Bushey - NPI 1285763847
Dere Randolph Bushey is a Psychiatric/mental Health in Long Beach, California. Dere Randolph Bushey practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Dere Randolph Bushey is 1285763847. The last update date is 2007-07-08.
Dere Randolph Bushey's current location address is 1437 N Studebaker Rd, Long Beach, California. You can contact this provider via phone number 5625980553. The mailing address for Dere Randolph Bushey is 1437 N Studebaker Rd, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dere Randolph Bushey |
|---|---|
| Address | 1437 N Studebaker Rd, Long Beach, California |
| Phone Number | 5625980553 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BSN |
NPI Number Detail
| NPI Number | 1285763847 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1437 N Studebaker Rd |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908154838 |
| Phone Number | 5625980553 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 163Wp0808X |
| Licence No | RN288389 |
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Definition: A registered nurse who cares for patients with mental health disorders and conditions. |
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What is the unique 10-digit identifier code assigned to Dere Randolph Bushey by the Centers for Medicare & Medicaid Services?
The Dere Randolph Bushey has been issued the NPI (National Provider Identifier) 1285763847 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Dere Randolph Bushey's physical address?
The Dere Randolph Bushey is physically located at 1437 N Studebaker Rd, in the city of Long Beach, CA, with the postal code 908154838.
What is Dere Randolph Bushey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dere Randolph Bushey's area of specialization is Psychiatric/mental Health, and the corresponding taxonomy code that categorizes this field of practice is 163Wp0808X.
On what date did the Dere Randolph Bushey receive its 1285763847 assignment from the Centers for Medicare & Medicaid Services?
The Dere Randolph Bushey was assigned its 1285763847 by the Centers for Medicare & Medicaid Services on 2007-03-02.
As of what date were the details pertaining to Dere Randolph Bushey last refreshed?
The information related to the Dere Randolph Bushey, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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