| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREA ELAINE BUSTAMANTE | 1972275113 | 2021-10-10 |
Andrea Elaine Bustamante is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972275113. Registration indicates Andrea Elaine Bustamante is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers) (Other Service Providers, Naturopath) (Naturopath, ) (Naturopath, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Andrea Elaine Bustamante ND, DOM |
| Practice Office Address | 1331 MAESTAS RD TAOS, NM US |
| Practice Office Telephone | 5757767806 |
| Mailing Address | 688 CALLECITA JICARILLA SANTA FE, NM 875054940 US |
| Business Telephone | 5056706726 |
| Code | Practice | License No State |
|---|---|---|
| 171100000X | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers |
NM |
| 175F00000X PRIMARY | Other Service Providers Naturopath Naturopath Naturopath Other Service Providers |
NM |