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Mrs. Mary Beth Bustos, MSN,APRN,FNP-C
Family Nurse Practitioner in Portage, Indiana
NPI 1306482518

Mary Beth Bustos is a Family Nurse Practitioner based in Orland Hills, IN and is specialized in Family. Mary Beth Bustos practices in Portage, IN and has the professional credentials of MSN,APRN,FNP-C. The NPI Number for Mary Beth Bustos is 1306482518 and holds a License No. 209.020437 (Indiana).

The current practice location address for Mary Beth Bustos is 6050 Sterling Creek Rd, Portage, IN and can be reached out via phone at 219-763-8112.

Location: 6050 Sterling Creek Rd, Portage, IN, 60487-5648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306482518
Provider Name
Mary Beth Bustos
Credential
MSN,APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
6050 Sterling Creek Rd, Portage, IN, 60487-5648
Phone Number
219-763-8112
Fax Number
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6050 Sterling Creek Rd
City
Portage
State
Indiana
Zip
46368-7752
Phone Number
219-763-8112
Fax Number
person
Provider Business Mailing Address Details
Address
6050 Sterling Creek Rd
City
Portage
State
Indiana
Zip
46368-7752
Phone Number
219-763-8112
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.020437 (Illinois)
Definition
Definition to come...
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