Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ivan Scott Bushman, RN

Individual provider Registered Nurse · NPI 1023743960

Mr. Ivan Scott Bushman, RN is a Registered Nurse in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

775 E Willetta St
Phoenix, AZ 85006-2723
Phone: (480) 581-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN183610 (AZ)

Record details

NPI number1023743960
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

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