Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN STEPHANIE GUSTAFSON, LPN
Active Sole ProprietorSUSAN STEPHANIE GUSTAFSON, LPN is a Licensed Practical Nurse healthcare provider located in FOREST LAKE, Minnesota. NPI 1205214350 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · FOREST LAKE, MN
Registration Details
- NPI Number
- 1205214350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2015 (11.249014989244 yrs)
- Last Updated
- May 9, 2015
- License
-
L71970-2 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7951 250TH STFOREST LAKE, MN, 550258370Browse MN providers · Browse ZIP 55025
- Phone
- 6512312048
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.