Individual provider · Type 1 NPI

Andre Lazaro Bustamante, APRN

Acute Care Nurse Practitioner · Little Rock, AR

NPI number 1376484592 Active

Practice location

2 Saint Vincent Cir
Little Rock, AR 72205-5499

Mailing address

525 Feldspar Dr
Sherwood, AR 72120-2379

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X214782 (AR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1376484592

Andre Lazaro Bustamante, APRN's National Provider Identifier is 1376484592, issued on Apr 2, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Little Rock, AR. The record was last updated on Apr 2, 2026.