Gustafson, Kimberly Rae
Gustafson, Kimberly Rae is an individual health care provider with primary practice located at 315 Mlk Jr. Way Ms Zo-Ntl, Tacoma WA 98405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gustafson, Kimberly Rae can be contacted via phone (253) 403-1019.Contact Information
Primary practice address
315 Mlk Jr. Way Ms Zo-Ntl
Tacoma WA 98405
Phone: (253) 403-1019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | AP30004020 | Washington |
Profile Details
| NPI number | 1437102696 |
|---|---|
| LBN Legal business name | Gustafson, Kimberly Rae |
| Credentials | MN, NNP, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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