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

Rex Bustamamnte

Individual provider Medical-Surgical Registered Nurse · NPI 1285350587

Rex Bustamamnte is a Medical-Surgical Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

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

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 4704233790 (MI)

Record details

NPI number1285350587
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address4646 John R St, Detroit, MI 48201-1916

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