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Individual

ANDRE LAZARO BUSTAMANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5499
(501) 552-4677
Mailing address
525 FELDSPAR DR, SHERWOOD, AR 72120-2379
(501) 400-5577

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
214782
AR

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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