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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYRA BUSTAMANTE

Active

MYRA BUSTAMANTE is a Licensed Vocational Nurse healthcare provider located in LODI, California. NPI 1730474529 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · LODI, CA

Registration Details

NPI Number
1730474529
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2011 (15.182923604177 yrs)
Last Updated
Apr 20, 2016
Licenses
LP034207 (AZ)
VN682197 (CA)

Practice Information

Address
12755 N HIGHWAY 88
LODI, CA, 952409323
Browse CA providers · Browse ZIP 95240
Phone
2093405800
Fax
2093405804
Primary Specialty
Licensed Vocational Nurse
164X00000X
Additional Specialty
Licensed Vocational Nurse

Other Licensed Vocational Nurse Providers in LODI, CA

Name Credential NPI
MRS. ANGIE E BROWN LVN 1336338946
DAVID CONRAD LAWRY LVN 1134367691
MONICA M YERENA 1679878755
MRS. PORNPIT NIT PALUCH LVN 1619260437
LINDA CECILIA AVILA LVN 1487917761
JOHN CAMPOS LVN, LPT 1407192297
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.