Gustafson, Carmen Michelle

Gustafson, Carmen Michelle is an individual health care provider with primary practice located at 1989 Miamisburg Centerville Rd , Centerville OH 45459-3859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Gustafson, Carmen Michelle can be contacted via phone (937) 528-6890.

Contact Information

Primary practice address
1989 Miamisburg Centerville Rd Centerville OH 45459-3859
Phone: (937) 528-6890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X COA.13464-NP Ohio

Profile Details

NPI number 1679818405
LBN Legal business name Gustafson, Carmen Michelle
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Jan 13th, 2013 - about 11 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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