Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIE GUSTAFSON, RN
Active Sole ProprietorMARIE GUSTAFSON, RN is a 163WM1400X healthcare provider located in OTTSVILLE, Pennsylvania. NPI 1386789485 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · OTTSVILLE, PA
Registration Details
- NPI Number
- 1386789485
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2007 (19.521246757755 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RN563205 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8382 EASTON RDOTTSVILLE, PA, 189429688Browse PA providers · Browse ZIP 18942
- Phone
- 6108475708
- Primary Specialty
-
163WM1400X
163WM1400X
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.