Individual provider · Type 1 NPI
Leticia Bustamante
Nurse Practitioner · Brawley, CA
Practice location
751 West Legion Road, Suite 102
Brawley, CA 92227
Fax (760) 545-0253
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Other practice locations
- 1809 National Ave, San Diego, CA 92113 · (619) 515-2300
- 2391 Island Ave, San Diego, CA 92102 · (619) 515-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | FNP17877 (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 1609058924
Leticia Bustamante's National Provider Identifier is 1609058924, issued on Nov 28, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brawley, CA. The record was last updated on Aug 17, 2023.