Whalio Doctors

NPI 1588426639

Kassidy Danae Bustamante

Practitioner Nurse's Aide Grand Forks, ND

Practice location

Address
750 S 43rd St APT 622, Grand Forks, ND 58201-3941
Phone
(701) 188-5136

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 138503 (ND)

Registry record

NPI
1588426639
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jan 2024
Record last updated
24 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.