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Individual

HAYLEY LOIS BUSTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
083671-21
NH
363LF0000X
Family Nurse Practitioner
28173025A
IN
363LF0000X
Family Nurse Practitioner
71004262A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151020011
MEDICARE PTAN
IN
05
201128570
IN
01
P01209920
RAILROAD MEDICARE PTAN
IN
Enumeration date
10/17/2012
Last updated
04/14/2026
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