Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly J. Bustos, NURSEPRACTICTIONER

Individual provider Family Nurse Practitioner · NPI 1467603159

Kelly J. Bustos, NURSEPRACTICTIONER is a Family Nurse Practitioner in Rancho Mirage, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

71-511 Highway 111 Ste H
Rancho Mirage, CA 92270-4465
Phone: (760) 773-2200
Fax: (760) 773-2202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17546 (CA)

Record details

NPI number1467603159
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTICTIONER
Sole proprietorNo
NPI enumeratedOctober 1, 2008
Last updated in NPPESMarch 1, 2016

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