Individual provider · Type 1 NPI

Myra Bustamante

Licensed Vocational Nurse · Lodi, CA

NPI number 1730474529 Active

Practice location

12755 N Highway 88
Lodi, CA 95240-9323

Fax (209) 340-5804

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XLP034207 (AZ)
Licensed Vocational Nurse Primary 164X00000XVN682197 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1730474529

Myra Bustamante's National Provider Identifier is 1730474529, issued on Jun 9, 2011. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Lodi, CA. The record was last updated on Apr 20, 2016.