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Myra Bustamante
Licensed Vocational Nurse in Lodi, California
NPI 1730474529

Myra Bustamante is a Licensed Vocational Nurse based in Lodi, CA. Myra Bustamante practices in Lodi, CA. The NPI Number for Myra Bustamante is 1730474529 and holds a License No. LP034207 (California).

The current practice location address for Myra Bustamante is 12755 N Highway 88, Lodi, CA and can be reached out via phone at 209-340-5800 and via fax at 209-340-5804.

Location: 12755 N Highway 88, Lodi, CA, 95240-9323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730474529
Provider Name
Myra Bustamante
Credential
Provider Entity Type
Individual
Gender
Female
Address
12755 N Highway 88, Lodi, CA, 95240-9323
Phone Number
209-340-5800
Fax Number
209-340-5804
Provider Enumeration Date
06/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12755 N Highway 88
City
Lodi
State
California
Zip
95240-9323
Phone Number
209-340-5800
Fax Number
209-340-5804
person
Provider Business Mailing Address Details
Address
12755 N Highway 88
City
Lodi
State
California
Zip
95240-9323
Phone Number
209-340-5800
Fax Number
209-340-5804
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
VN682197 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
LP034207 (Arizona)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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