Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WESLEY BUSTILLO CO
Active Sole ProprietorMARK WESLEY BUSTILLO CO is a Nurse Practitioner healthcare provider located in CHATSWORTH, California. NPI 1477929461 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CHATSWORTH, CA
Registration Details
- NPI Number
- 1477929461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2015 (10.987091244645 yrs)
- Last Updated
- Oct 5, 2022
- Licenses
-
95013538 (CA)697369 (CA)95013538 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20151 NORDHOFF STCHATSWORTH, CA, 913116215Browse CA providers · Browse ZIP 91311
- Phone
- 8184073200
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in CHATSWORTH, CA
| Name | Credential | NPI |
|---|---|---|
| DIANA ALEXIS | FNP CDE BC-ADM | 1154693893 |
| MR. ELIZABETH SALAZAR | NP | 1083236798 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.