VICKY BUSTAMANTE APN NPI 1376080440

NPI Information

NPI: 1376080440
Provider Name: VICKY BUSTAMANTE, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1875 DEMPSTER ST STE B06
PARK RIDGE, IL
ZIP 60068
Phone: (847) 723-7024
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Vicky Bustamante, APN is a family nurse practitioner in Park Ridge, IL with 8 years of experience. Vicky Bustamante, APN NPI is 1376080440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1875 DEMPSTER ST STE B06
PARK RIDGE, IL
ZIP 60068-186
Phone: (847) 723-7024
Fax: (847) 723-7369

The NPI 1376080440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 12/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209015209	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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