Kelly J. Bustos, NURSE PRACTICTIONER is a family nurse practitioner in Rancho Mirage, CA. Kelly J. Bustos, NURSE PRACTICTIONER NPI is 1467603159. 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:
71-511 HIGHWAY 111
SUITE H
RANCHO MIRAGE, CA
ZIP 92270-465
Phone: (760) 773-2200
Fax: (760) 773-2202
The NPI 1467603159 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 10/1/2008 and was last updated on 3/1/2016.