Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CARMEN MICHELLE GUSTAFSON, ANP
ActiveWomen's Health Clinical Nurse Specialist · CENTERVILLE, OH
Registration Details
- NPI Number
- 1679818405
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2012 (13.380037866412 yrs)
- Last Updated
- Jan 13, 2013
- License
-
COA.13464-NP (OH)
Practice Information
- Address
-
1989 MIAMISBURG CENTERVILLE RDCENTERVILLE, OH, 454593859Browse OH providers · Browse ZIP 45459
- Phone
- 9375286890
- Primary Specialty
-
Women's Health Clinical Nurse Specialist
364SW0102X
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.