Individual
AMY LYNN EATON BUSTILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8990 OLD ANNAPOLIS RD STE A, COLUMBIA, MD 21045-2182
(410) 531-6006
Mailing address
8990 OLD ANNAPOLIS RD STE A, COLUMBIA, MD 21045-2182
(410) 531-6006
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R118549
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R118549
MD
Other
Enumeration date
02/18/2025
Last updated
08/06/2025
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