Bustillos, Samuel Correa
Bustillos, Samuel Correa is an sole proprietor health care provider with primary practice located at 2450 S Telshor Blvd , Las Cruces NM 88011-5141. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Bustillos, Samuel Correa can be contacted via phone (575) 636-7407.Contact Information
Primary practice address
2450 S Telshor Blvd
Las Cruces NM 88011-5141
Phone: (575) 636-7407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | CNP-03431 | New Mexico |
Profile Details
| NPI number | 1699289173 |
|---|---|
| LBN Legal business name | Bustillos, Samuel Correa |
| Credentials | ACNP-AG |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2017 |
| Last updated | Aug 21st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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