| Allison Bustos, RD | |
|
104 Sexton Ct, Smithville, MO 64089-9090 | |
| (619) 820-8039 | |
| Not Available |
| Full Name | Allison Bustos |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 104 Sexton Ct, Smithville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336914928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86042969 (NU) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Bustos, RD 104 Sexton Ct, Smithville, MO 64089-9090 Ph: (619) 820-8039 | Allison Bustos, RD 104 Sexton Ct, Smithville, MO 64089-9090 Ph: (619) 820-8039 |
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