Tanya Faye Bush
APRN | Nurse Practitioner | 10+ years Exp
512 Village Rd Ste 104, Shallotte
North Carolina, 28470-3409
910-721-4200
Accepts Medicare Nurse Anesthetist in Shallotte, North Carolina.Tanya Faye Bush is a Shallotte, North Carolina based nurse practitioner with 10 years of experience in . She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tanya Faye Bush is 5011389 in North Carolina. Her current practice location is 512 Village Rd Ste 104, Shallotte. Patients can reach her at 910-721-4200. Tanya Faye Bush is APRN and her NPI number (Unique professional ID assigned by NPPES) is 1619343803.
Tanya Faye Bush has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Tanya Faye Bush speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tanya Faye Bush |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | APRN |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 512 Village Rd Ste 104, Shallotte, North Carolina, 28470-3409 |
| Phone: | 910-721-4200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1052629151 |
| Enrollment ID: | I20190326000831 |
| NPI Number: | 1619343803 |
| NPI Enumeration Date: | 11 Aug, 2015 |
| NPI Last Update On: | 15 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tanya Faye Bush are as mentioned below.
| License Number | Specialization | State | Status | |
| 5011389 | | North Carolina | Primary | |
| 5011389 | Psych/Mental Health | North Carolina | Secondary | |
| APN0000020158 | Psych/Mental Health | Tennessee | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Tanya Faye Bush is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Mindpath Care Centers North Carolina Pllc (4688655517) | 135 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tanya Faye Bush Po Box 60447, Charlotte, North Carolina |
| Zip: | 28260-0447 |
Patients can reach Tanya Faye Bush at
512 Village Rd Ste 104, Shallotte, North Carolina or can
call to book an appointment on 910-721-4200.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.