KATHLEEN GUSTAFSON FNP NPI 1215481411

NPI Information

NPI: 1215481411
Provider Name: KATHLEEN GUSTAFSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1181 PADDOCK RD
SMYRNA, DE
ZIP 19977
Phone: (302) 653-9261
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Kathleen Gustafson, FNP is a family nurse practitioner in Smyrna, DE. Kathleen Gustafson, FNP NPI is 1215481411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1181 PADDOCK RD
SMYRNA, DE
ZIP 19977-679
Phone: (302) 653-9261

The enumeration date for this NPI number is 8/5/2016 and was last updated on 8/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	LG-0000934	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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