Individual provider · Type 1 NPI
Richard Lee Bustamante, DNP, APRN, AGACNP-BC
Gerontology Nurse Practitioner · Houston, TX
NPI number
1720853633
Active
Practice location
6565 Fannin St
Houston, TX 77030-2703
Mailing address
1302 Waugh Dr # 186
Houston, TX 77019-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1142029 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | 1142029 (TX) |
| Nurse Practitioner | 363L00000X | 1142029 (TX) |
| Adult Health Nurse Practitioner | 363LA2200X | 1142029 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1720853633
Richard Lee Bustamante, DNP, APRN, AGACNP-BC's National Provider Identifier is 1720853633, issued on Nov 20, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Jul 1, 2026.