Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA L GUSTILO, MD MPH
ActiveTARA L GUSTILO, MD MPH is a Obstetrics & Gynecology healthcare provider located in NEWPORT, Tennessee. NPI 1710913900 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · NEWPORT, TN
Registration Details
- NPI Number
- 1710913900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2006 (20.13493100855 yrs)
- Last Updated
- Dec 5, 2022
- License
-
35084663 (OH)
Practice Information
- Address
-
434 4TH ST STE 305NEWPORT, TN, 378213735Browse TN providers · Browse ZIP 37821
- Phone
- 4234153330
- Fax
- 4236131173
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
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.