Individual provider · Type 1 NPI
Samantha Lyn Bustillos, NURSE PRACTITIONER
Family Nurse Practitioner · Las Cruces, NM
NPI number
1689246159
Active
Practice location
4085 Egyptian St
Las Cruces, NM 88005-3573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 63807 (NM) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689246159
Samantha Lyn Bustillos, NURSE PRACTITIONER's National Provider Identifier is 1689246159, issued on Jul 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Las Cruces, NM. The record was last updated on Jul 14, 2021.