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Tara Celeste Bustos, CRNP

Nurse Practitioner, Acute Care in Huntsville, AL. Individual provider (NPI-1).

NPI number1235948480
StatusActive
Last updated in NPPESJan 2, 2025

Details

NPI
1235948480
Entity type
Individual (NPI-1)
Name
Mrs. Tara Celeste Bustos
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 2, 2025
Certification date
Jan 2, 2025
Last updated
Jan 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2100X Nurse Practitioner, Acute Care1-168820ALYes

Practice location

201 Sivley Rd Sw Ste 300
Huntsville, AL 35801-5102

Phone 256-762-6312

Mailing address

201 Sivley Rd Sw Ste 300
Huntsville, AL 35801-5102

Phone 256-762-6312

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