Individual provider · Type 1 NPI

Mary Beth Bustos, MSN, APRN, FNP-C

Family Nurse Practitioner · Portage, IN

NPI number 1306482518 Active

Practice location

6050 Sterling Creek Rd
Portage, IN 46368-7752

Call (219) 763-8112 Map

Mailing address

16401 Pepperwood Trl
Orland Hills, IL 60487-5648

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209.020437 (IL)

Family Nurse Practitioner: Definition to come...

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Brian H. Dortmund, MSWClinical Social Worker Portage, IN NPI 1538937628
Brittany Deann Burgy, APRN, CNMAdvanced Practice Midwife Portage, IN NPI 1225718968
Cody John HolmgrenDentist Portage, IN NPI 1952183089
Dana Dawnielle Jones, MDObstetrics & Gynecology Physician Portage, IN NPI 1013447853
Daniel Raleigh Dewar, DCChiropractor Portage, IN NPI 1063512937

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About NPI 1306482518

Mary Beth Bustos, MSN, APRN, FNP-C's National Provider Identifier is 1306482518, issued on Nov 22, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portage, IN. The record was last updated on Jun 8, 2021.