Individual provider · NPI-1

Dr. Daniel Bustillos, DNP, PMHNP-BC

Nurse Practitioner, Psych/Mental Health · El Paso, TX

NPI number1881182160
StatusActive
Last updated in NPPESMar 5, 2024

Details

NPI
1881182160
Entity type
Individual (NPI-1)
Name
Dr. Daniel Bustillos
Credential
DNP, PMHNP-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 23, 2018
Certification date
Aug 23, 2023
Last updated
Mar 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthAP140763TXYes
163WP0809X Registered Nurse, Psych/Mental Health, Adult856453TX

Practice location

1219 Barranca Dr
El Paso, TX 79935-4601

Phone 915-779-5600

Mailing address

201 E Main Dr Ste 600
El Paso, TX 79901-1385

Other practice locations

201 E Main Dr Ste 600
El Paso, TX 79901-1385

Phone 915-244-4966

1600 Montana Ave
El Paso, TX 79902-5622

Phone 915-244-4966

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