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Kelly J. Bustos, NURSEPRACTICTIONER
Family Nurse Practitioner in Rancho Mirage, California
NPI 1467603159

Kelly J. Bustos is a Family Nurse Practitioner based in Rancho Mirage, CA and is specialized in Family. Kelly J. Bustos practices in Rancho Mirage, CA and has the professional credentials of NURSEPRACTICTIONER. The NPI Number for Kelly J. Bustos is 1467603159 and holds a License No. 17546 (California).

The current practice location address for Kelly J. Bustos is 71-511 Highway 111, Rancho Mirage, CA and can be reached out via phone at 760-773-2200 and via fax at 760-773-2202.

Location: 71-511 Highway 111, Rancho Mirage, CA, 92270-4465
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Provider Profile Details
NPI Number
1467603159
Provider Name
Kelly J. Bustos
Credential
NURSEPRACTICTIONER
Provider Entity Type
Individual
Gender
Female
Address
71-511 Highway 111, Rancho Mirage, CA, 92270-4465
Phone Number
760-773-2200
Fax Number
760-773-2202
Provider Enumeration Date
10/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
643068 01 CA REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
71-511 Highway 111
City
State
Zip
92270-4465
Phone Number
760-773-2200
Fax Number
760-773-2202
person
Provider Business Mailing Address Details
Address
71-511 Highway 111
City
State
Zip
92270-4465
Phone Number
760-773-2200
Fax Number
760-773-2202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
17546 (California)
Definition
Definition to come...
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