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Search › New Mexico › 363LA2100X

Samuel Bustillos, ACNP-AG

NPI 1699289173 · on the registry since 2017 · sole proprietor

Practice

Address
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone
(575) 636-7407
Organisation at this address
Zaidi Llc
Phc Las Cruces
Phc-Las Cruces Inc
Phc-Las Cruces Inc
Phc Las Cruces Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
145

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico