Individual
MARY M. BUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1050 OLD CAMP RD STE 100, THE VILLAGES, FL 32162
(844) 884-9355
(352) 674-8960
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8905
(352) 674-8901
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00564500
NJ
363LA2200X
Adult Health Nurse Practitioner
APRN11020849
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11020849
FL
Other
Enumeration date
05/08/2015
Last updated
08/15/2025
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