Gustafson, Katelyn C

Gustafson, Katelyn C is an individual health care provider with primary practice located at 6401 Prairie St Ste 1700 , Norton Shores MI 49444-7843. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gustafson, Katelyn C can be contacted via phone (231) 727-7944.

Contact Information

Primary practice address
6401 Prairie St Ste 1700 Norton Shores MI 49444-7843
Phone: (231) 727-7944
Fax: (231) 724-7812
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5008868 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 71013513A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704373177 Michigan

Profile Details

NPI number 1912454455
LBN Legal business name Gustafson, Katelyn C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Jan 25th, 2023 - about last year

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 1912454455 NPPES
Michigan MEDICAID 1912454455

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