Gustafson, Gail M

Gustafson, Gail M is an individual health care provider with primary practice located at 205 S Front St 4Th Floor, Bma, Harrisburg PA 17104-1619. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gustafson, Gail M can be contacted via phone (717) 231-8555.

Contact Information

Primary practice address
205 S Front St 4Th Floor, Bma Harrisburg PA 17104-1619
Phone: (717) 231-8555
Fax: (717) 231-8568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN644665 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP012635 Pennsylvania

Profile Details

NPI number 1609929736
LBN Legal business name Gustafson, Gail M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2007
Last updated Jan 2nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609929736 NPPES
Pennsylvania MEDICAID 103079740

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