Gustafson, Karin Elizabeth

Gustafson, Karin Elizabeth is an sole proprietor health care provider with primary practice located at 1211 Fish Hatchery Rd , Madison WI 53715-1909. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gustafson, Karin Elizabeth can be contacted via phone (608) 252-8000.

Contact Information

Primary practice address
1211 Fish Hatchery Rd Madison WI 53715-1909
Phone: (608) 252-8000
Fax: (608) 283-7354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 178533-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 148938-32 Wisconsin

Profile Details

NPI number 1932472966
LBN Legal business name Gustafson, Karin Elizabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2012
Last updated May 24th, 2022 - 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 1932472966 NPPES
Wisconsin MEDICAID 1932472966

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