Gustafson-Larson, Ann Marie

Gustafson-Larson, Ann Marie is an individual health care provider with primary practice located at 1900 Centra Care Circle #2500 Centra Care Clinic Health Plaza / Endocrinology, St Cloud MN 56303-5000. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gustafson-Larson, Ann Marie can be contacted via phone (320) 229-5000.

Contact Information

Primary practice address
1900 Centra Care Circle #2500 Centra Care Clinic Health Plaza / Endocrinology St Cloud MN 56303-5000
Phone: (320) 229-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1134 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R-103319-9 Minnesota

Profile Details

NPI number 1952420333
LBN Legal business name Gustafson-Larson, Ann Marie
Credentials RN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Sep 11th, 2012 - about 13 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.

Request for update

Popular Providers