IndividualActive
Andrea Bushaw, APN/CPNP
NPI 1093741316 · Pediatric Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1093741316
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN/CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- R1924994 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2525 Chicago Ave
Minneapolis, MN 55404
Phone: (529) 992-5316
Approximate (ZIP-level) locationGet directions
Mailing address
6109 Sherman Cir
Edina, MN 55436-1953
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2018-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.