Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CHECHELLE MARIE TABLANG BUSTAMANTE, FNP
Active Sole ProprietorMRS. CHECHELLE MARIE TABLANG BUSTAMANTE, FNP is a Primary Care Nurse Practitioner healthcare provider located in BROOKEVILLE, Maryland. NPI 1487850715 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · BROOKEVILLE, MD
Registration Details
- NPI Number
- 1487850715
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2007 (19.095825058711 yrs)
- Last Updated
- May 1, 2024
- License
-
R172810 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18409 SHADY VIEW LNBROOKEVILLE, MD, 208332842Browse MD providers · Browse ZIP 20833
- Phone
- 3012735195
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
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.