Individual provider · Type 1 NPI
Samuel Correa Bustillos, ACNP-AG
Acute Care Nurse Practitioner · Las Cruces, NM
NPI number
1699289173
Active
Practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5141
Mailing address
1455 S Valley Dr Ste A
Las Cruces, NM 88005-3165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | CNP-03431 (NM) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1699289173
Samuel Correa Bustillos, ACNP-AG's National Provider Identifier is 1699289173, issued on Nov 20, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Las Cruces, NM. The record was last updated on Aug 21, 2023.