LEIGH ANNE GUSTAFSON AGACNP-BC NPI 1558015099

NPI Information

NPI: 1558015099
Provider Name: LEIGH ANNE GUSTAFSON, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
827 SPRING ST
MEDFORD, OR
ZIP 97504
Phone: (541) 732-7600
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Leigh Anne Gustafson, AGACNP-BC is an acute care nurse practitioner in Medford, OR. Leigh Anne Gustafson, AGACNP-BC NPI is 1558015099. 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:

827 SPRING ST
MEDFORD, OR
ZIP 97504-104
Phone: (541) 732-7600
Fax: (541) 732-7601

The NPI 1558015099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.

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	363LA2100X	Nurse Practitioner	Acute Care	202201187NP-PP	OREGON	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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