Provider Demographics
NPI:1588317457
Name:BUSHNELL, CATHERINE (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:BUSHNELL
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 HERITAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4450
Mailing Address - Country:US
Mailing Address - Phone:843-368-0036
Mailing Address - Fax:
Practice Address - Street 1:29 PLANTATION PARK DR STE 203
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9008
Practice Address - Country:US
Practice Address - Phone:843-342-2299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25774363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily