Gayle Ann Bustos, RN
Individual provider Active NPI School Registered Nurse · Springer, NM
NPI 1962050179 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1962050179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-90454 (NM)
- Practice address
- 311 Miranda Ave.
Springer, NM 87747 - Phone
- (575) 483-3408
- Fax
- (575) 483-3970
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-90454 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-90454 | NM | Yes |
Addresses
Primary practice location
311 Miranda Ave.
Springer, NM 87747
Mailing address
PO Box 308
Springer, NM 87747-0308
Phone (575) 483-3491
Other practice location 1
1401 8th St.
Springer, NM 87747
Phone (575) 483-3491
Other names
- Gayle Ann Laumbach
Other providers in Springer, NM
- Briana Baca
- Candralee Balizan
- Bestcare Pharmacy Springer LLC
- Samuel Blea
- Melissa Brown
- Francesca Chavez
- Erika Derkes
- El Centro Family Health
- El Centro Family Health
- Stephen Evers
All providers in Springer, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.