Individual provider · Type 1 NPI
Mark Wesley Bustillo Co
Nurse Practitioner · Sylmar, CA
Practice location
14445 Olive View Dr
Sylmar, CA 91342-1438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 697369 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95013538 (CA) |
| Family Nurse Practitioner | 363LF0000X | 95013538 (CA) |
Nurse Practitioner: (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 wit…
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About NPI 1477929461
Mark Wesley Bustillo Co's National Provider Identifier is 1477929461, issued on Aug 13, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sylmar, CA. The record was last updated on Apr 16, 2026.