Gustafson, Audrey C
Gustafson, Audrey C is an individual health care provider with primary practice located at 8200 Dodge St , Omaha NE 68114-4113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gustafson, Audrey C can be contacted via phone (402) 955-7400.Contact Information
Primary practice address
8200 Dodge St
Omaha NE 68114-4113
Phone: (402) 955-7400
Fax: (402) 955-7405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2620 | Nebraska |
Profile Details
| NPI number | 1861060238 |
|---|---|
| LBN Legal business name | Gustafson, Audrey C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2021 |
| Last updated | Jun 14th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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