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GENESIS I BUSTAMANTE VALLE LPN
NPI 1710852454
Licensed Practical Nurse in West Milwaukee, WI

Active since October 10, 2025
1610 MILLER PARK WAY STE 1600, WEST MILWAUKEE, WI 53214(414) 672-3801(414) 672-6026 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis I Bustamante Valle Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS I BUSTAMANTE VALLE LPN (NPI 1710852454) is an individual licensed practical nurse in West Milwaukee, Wisconsin, licensed in Wisconsin (332918-31) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710852454
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGENESIS I BUSTAMANTE VALLECredential: LPN
Location Address1610 MILLER PARK WAY STE 1600West Milwaukee, WI 53214-3604
Mailing Address1610 Miller Park Way Ste 1600West Milwaukee, WI 53214-3604 · (414) 672-3801 · Fax (414) 672-6026
Phone(414) 672-3801
Fax(414) 672-6026
Sole ProprietorNo
Enumeration DateOctober 10, 2025
NPPES CertifiedOctober 10, 2025
✔ NPI 1710852454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 332918-31
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1610 MILLER PARK WAY STE 1600, West Milwaukee, WI 53214
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNMARIE MARTINEZ LPN
Licensed Practical Nurse
1610 MILLER PARK WAY STE 1600
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
MICHELE LEE MCCAULEY LPN
Licensed Practical Nurse
1610 MILLER PARK WAY STE 1600
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
EPIPHANY A GOLD LPN
Licensed Practical Nurse
1610 MILLER PARK WAY STE 1600
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Bustamante Valle's NPI number?

The NPI number for Genesis Bustamante Valle is 1710852454. It was assigned to this individual provider in the NPPES registry on October 10, 2025.

Where is Genesis Bustamante Valle located?

Genesis Bustamante Valle practices at 1610 Miller Park Way Ste 1600, West Milwaukee, WI 53214. The listed phone number is (414) 672-3801.

What is Genesis Bustamante Valle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Genesis Bustamante Valle was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.