Individual
MRS. TARA CELESTE BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
201 SIVLEY RD SW STE 300, HUNTSVILLE, AL 35801-5102
(256) 762-6312
Mailing address
201 SIVLEY RD SW STE 300, HUNTSVILLE, AL 35801-5102
(256) 762-6312
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-168820
AL
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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