MRS. Chechelle Marie Tablang Bustamante, FNP
NPI #1487850715 in Brookeville, Maryland
Provider Information
- NPI Number
- 1487850715
- Entity Type
- Individual
- Name
- MRS. Chechelle Marie Tablang Bustamante, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- FNP
- Enumeration Date
- Jun 24, 2007
- Last Updated
- May 1, 2024
Practice Location
- Address
- 18409 SHADY VIEW LN
- City
- Brookeville
- State
- Maryland
- ZIP Code
- 20833-2842
- Phone
- (301) 273-5195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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