NPI 1295506095

Robert Bustamante Bagne, LPN

Practitioner Licensed Vocational Nurse Las Vegas, NV

Practice location

Address: 4040 S Eastern Ave STE 300, Las Vegas, NV 89119-0854
Phone: (949) 438-9086
Mailing address: 9164 Novel CT, Las Vegas, NV 89149-3087

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 862361 (NV)

Other Licensed Vocational Nurse providers in Nevada →

Registry record

NPI: 1295506095
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2024
Record last updated: 10 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.