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Leticia Bustamante
Nurse Practitioner in Brawley, California
NPI 1609058924

Leticia Bustamante is a Nurse Practitioner based in San Diego, CA. Leticia Bustamante practices in Brawley, CA. The NPI Number for Leticia Bustamante is 1609058924 and holds a License No. FNP17877 (California).

The current practice location address for Leticia Bustamante is 751 West Legion Road, Brawley, CA and can be reached out via phone at 760-351-8696 and via fax at 760-545-0253.

Location: 751 West Legion Road, Brawley, CA, 92102-4541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609058924
Provider Name
Leticia Bustamante
Credential
Provider Entity Type
Individual
Gender
Female
Address
751 West Legion Road, Brawley, CA, 92102-4541
Phone Number
760-351-8696
Fax Number
760-545-0253
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0066310 05 CA
FHC03830F 05 CA
institution
Provider Business Practice Location Address Details
Address
751 West Legion Road
City
Brawley
State
California
Zip
92227
Phone Number
760-351-8696
Fax Number
760-545-0253
person
Provider Business Mailing Address Details
Address
751 West Legion Road
City
Brawley
State
California
Zip
92227
Phone Number
760-351-8696
Fax Number
760-545-0253
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
FNP17877 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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