Gustafson, Julia A

Gustafson, Julia A is an individual health care provider with primary practice located at 12811 Covey Cir , Sonora CA 95370-5935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gustafson, Julia A can be contacted via phone (209) 588-8840.

Contact Information

Primary practice address
12811 Covey Cir Sonora CA 95370-5935
Fax: (209) 588-0911
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP5485 California

Profile Details

NPI number 1174509103
LBN Legal business name Gustafson, Julia A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Nov 18th, 2016 - about 9 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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